Physician
Garcia-Valenzuela, Enrique
Garcia-Valenzuela, Enrique was paid $129K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoGARCIA-VALENZUELA, ENRIQUE
DES PLAINES, IL 60016
DES PLAINES, IL 60016
33aNPI1356316855assigned 02/20/2006
33bProvider typeOphthalmology Physician
28Total paid$129K
24GClaims7,978
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Illinois
Rank by total paid#136 of 431
Median peer was paid$34K
This provider vs. median3.8×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,703 | $31K | |
| 2019 | 1,576 | $26K | |
| 2020 | 958 | $14K | |
| 2021 | 1,064 | $14K | |
| 2022 | 945 | $15K | |
| 2023 | 1,048 | $18K | |
| 2024incomplete | 684 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 2,314 | 2,065 | $44K |
| 92226 | 21% | 1,185 | 592 | $28K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 13% | 244 | 224 | $16K |
| 92201 | 12% | 1,641 | 1,218 | $15K | |
| 92225 | 7.4% | 521 | 293 | $10K | |
| 92134 | 7.0% | 1,527 | 1,451 | $9K | |
| 92250 | 2.2% | 197 | 180 | $3K | |
| 92235 | 1.5% | 132 | 123 | $2K | |
| J9035 | Injection, bevacizumab, 10 mg | 1.4% | 80 | 64 | $2K |
| 67210 | <1% | 14 | 13 | $887.90 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 123 | 79 | $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.