Physician
Valencia, MD & Sanchez, MD PA
Valencia, MD & Sanchez, MD PA was paid $427K by Medicaid between Jan 2018 and Jan 2023, across 55 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 22% of everything it billed.
33Billing provider infoVALENCIA, MD & SANCHEZ, MD PA
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1427136357assigned 11/01/2006
33bProvider typeClinical Pathology/Laboratory Medicine Physician
28Total paid$427K
24GClaims25,465
24DCodes billed55
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Clinical Pathology/Laboratory Medicine Physician providers in Texas
Rank by total paid#4 of 10
Median peer was paid$116K
This provider vs. median3.7×
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 | 456 | $2K | |
| 2019 | 272 | $2K | |
| 2020 | 3,621 | $66K | |
| 2021 | 11,004 | $154K | |
| 2022 | 9,522 | $193K | |
| 2023 | 590 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 22% | 3,659 | 3,580 | $93K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 16% | 2,369 | 2,334 | $70K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 13% | 1,495 | 1,477 | $56K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 11% | 2,176 | 2,070 | $48K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.9% | 1,008 | 1,006 | $25K |
| 87040 | 4.3% | 1,864 | 1,764 | $19K | |
| 86780 | 3.9% | 2,131 | 2,096 | $17K | |
| 88307 | 3.7% | 275 | 271 | $16K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 1,507 | 908 | $14K |
| 83605 | 2.3% | 1,420 | 1,346 | $10K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.2% | 439 | 437 | $9K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.1% | 429 | 427 | $9K |
43 more codes
| 86077 | 1.7% | 213 | $7K | |
| 88304 | 1.6% | 767 | $7K | |
| 87634 | 1.5% | 120 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 310 | $4K |
| 88312 | <1% | 275 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 923 | $3K |
| 86769 | <1% | 94 | $3K | |
| 80503 | <1% | 194 | $2K | |
| 87076 | <1% | 296 | $2K | |
| 88302 | <1% | 318 | $2K | |
| 80500 | <1% | 81 | $796.45 | |
| 87075 | <1% | 121 | $555.99 | |
| 87205 | <1% | 176 | $538.33 | |
| 86696 | <1% | 36 | $417.30 | |
| 82140 | <1% | 32 | $293.15 | |
| 86695 | <1% | 36 | $277.00 | |
| 87631 | <1% | 13 | $239.62 | |
| 87185 | <1% | 70 | $177.20 | |
| 87301 | <1% | 17 | $134.28 | |
| 88313 | <1% | 14 | $112.19 | |
| 82550 | <1% | 49 | $92.99 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 20 | $65.50 |
| 85027 | <1% | 1,258 | $62.18 | |
| 83520 | <1% | 86 | $57.31 | |
| 87084 | <1% | 62 | $44.34 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 270 | $22.52 |
| 80053 | Comprehensive metabolic panel | <1% | 218 | $9.37 |
| 80076 | <1% | 32 | $7.25 | |
| 85730 | <1% | 39 | $5.32 | |
| 81003 | <1% | 77 | $4.18 | |
| 85610 | <1% | 39 | $3.49 | |
| 86901 | 0% | 48 | $0.00 | |
| 83690 | 0% | 32 | $0.00 | |
| 86171 | 0% | 31 | $0.00 | |
| 86706 | 0% | 18 | $0.00 | |
| 87088 | 0% | 34 | $0.00 | |
| 83735 | 0% | 38 | $0.00 | |
| 86850 | 0% | 31 | $0.00 | |
| 86759 | 0% | 74 | $0.00 | |
| 86141 | 0% | 21 | $0.00 | |
| 84702 | 0% | 32 | $0.00 | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 30 | $0.00 |
| 86900 | 0% | 48 | $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, JOSE (PARTNET)