Valencia, Rafael

Valencia, Rafael was paid $121K by Medicaid between Jan 2018 and Nov 2018, across 9 billing codes. Its largest line is 78452, Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress — 26% of everything it billed.

33Billing provider infoVALENCIA, RAFAEL
LAS VEGAS, NV 89128

33aNPI1366494247assigned 05/17/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$121K

24GClaims971

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Cardiovascular Disease Physician providers in Nevada

Rank by total paid#11 of 86

Median peer was paid$17K

This provider vs. median7.0×

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	971	$121K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	26%	63	62	$32K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	26%	178	176	$32K
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	21%	237	231	$25K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	9.6%	63	62	$12K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	7.7%	56	56	$9K
93015		6.0%	110	108	$7K
93000		1.5%	121	118	$2K
93224		<1%	14	14	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	129	76	$605.90

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.