Clinic
Luis Valencia MD PA
Luis Valencia MD PA was paid $1.38M by Medicaid between Nov 2023 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoLUIS VALENCIA MD PA
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1376168708assigned 06/11/2020
33bProvider typeRural Health Clinic/Center
28Total paid$1.38M
24GClaims14,004
24DCodes billed28
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Texas
Rank by total paid#51 of 225
Median peer was paid$428K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2023 | 911 | $17K | |
| 2024incomplete | 13,093 | $1.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 86% | 7,665 | 5,448 | $1.19M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 418 | 413 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 326 | 313 | $49K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 304 | 285 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 169 | 157 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 904 | 857 | $935.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 389 | 285 | $287.36 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 202 | 186 | $14.43 |
| 96161 | <1% | 380 | 345 | $4.50 | |
| 90461 | 0% | 1,355 | 583 | $0.00 | |
| 99051 | 0% | 186 | 164 | $0.00 | |
| 90633 | 0% | 120 | 119 | $0.00 |
16 more codes
| 90648 | 0% | 14 | $0.00 | |
| 90734 | 0% | 41 | $0.00 | |
| 90710 | 0% | 98 | $0.00 | |
| 90649 | 0% | 51 | $0.00 | |
| 90670 | 0% | 355 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 96160 | 0% | 12 | $0.00 | |
| 90680 | 0% | 187 | $0.00 | |
| 92558 | 0% | 174 | $0.00 | |
| 90744 | 0% | 132 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 73 | $0.00 |
| 90698 | 0% | 244 | $0.00 | |
| 90686 | 0% | 124 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 26 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 16 | $0.00 |
| 90696 | 0% | 27 | $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.
From NPPES
Who's on the registration
Authorized officialVALENCIA, LUIS (MD, OWNER)
| Provider | Location | Paid |
|---|---|---|
| Luis Valencia MD PA | Rio Grande City, TX | $1.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.