Valley Intensivists, Pulmonologists and Sleep Specialists, P.L.L.C.
Valley Intensivists, Pulmonologists and Sleep Specialists, P.L.L.C. was paid $974K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 67% of everything it billed.
MCALLEN, TX 78503
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Texas
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,184 | $67K | |
| 2019 | 6,332 | $84K | |
| 2020 | 5,530 | $102K | |
| 2021 | 6,350 | $256K | |
| 2022 | 4,479 | $195K | |
| 2023 | 2,818 | $137K | |
| 2024incomplete | 2,191 | $132K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 67% | 9,529 | 2,870 | $655K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11% | 6,973 | 6,091 | $109K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.2% | 7,912 | 2,484 | $89K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.8% | 6,472 | 2,176 | $37K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.7% | 2,676 | 2,431 | $36K |
| 99245 | 3.7% | 213 | 205 | $36K | |
| 94060 | <1% | 169 | 158 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 183 | 145 | $3K |
| 94729 | <1% | 85 | 76 | $1K | |
| 94726 | <1% | 100 | 90 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 204 | 88 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 71 | 25 | $702.66 |
9 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 489 | $588.70 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 162 | $423.91 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 32 | $355.21 |
| 94664 | <1% | 264 | $199.20 | |
| 90674 | <1% | 78 | $132.18 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $66.53 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $0.28 |
| G0008 | Administration of influenza virus vaccine | 0% | 62 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 182 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Centro Las Americas | Worcester, MA | $43.79M |
| Lovin Care Home Health INC | Cape Coral, FL | $7.19M |
| Arcadia Nursing Home INC | Cape Coral, FL | $1.34M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.