Valencia, Hector

Valencia, Hector was paid $1K by Medicaid between Jan 2018 and Dec 2021, across 8 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 34% of everything it billed.

33Billing provider infoVALENCIA, HECTOR
JACKSON HEIGHTS, NY 11372

33aNPI1366591679assigned 01/09/2007

33bProvider typePediatrics Physician

28Total paid$1K

24GClaims165

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#1,539 of 1,983

Median peer was paid$17K

This provider vs. median0.1×

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	111	$486.85
2021	54	$810.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	34%	29	29	$435.00
90460	Immunization administration through 18 years of age via any route, first or only component	29%	25	25	$375.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	28	28	$258.34
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	13	13	$147.90
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.2%	16	16	$80.61
99000		0%	20	20	$0.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	18	18	$0.00
36425		0%	16	16	$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.