Valley Internal Medicine Associates PLLC
Valley Internal Medicine Associates PLLC was paid $315K by Medicaid between Jan 2018 and Feb 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoVALLEY INTERNAL MEDICINE ASSOCIATES PLLC
MISSION, TX 78572
MISSION, TX 78572
33aNPI1437275955assigned 03/22/2007
33bProvider typeSpecialist
28Total paid$315K
24GClaims46,995
24DCodes billed60
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#85 of 382
Median peer was paid$29K
This provider vs. median11×
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 | 12,345 | $48K | |
| 2019 | 10,371 | $59K | |
| 2020 | 7,170 | $51K | |
| 2021 | 8,713 | $68K | |
| 2022 | 7,074 | $70K | |
| 2023 | 1,268 | $17K | |
| 2024incomplete | 54 | $987.16 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 5,092 | 4,648 | $120K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 4,436 | 3,999 | $84K |
| 99444 | 17% | 911 | 255 | $52K | |
| 99423 | 7.6% | 425 | 140 | $24K | |
| 99000 | 2.5% | 1,757 | 1,610 | $8K | |
| 99490 | Ccm add 20min | 2.3% | 5,193 | 5,177 | $7K |
| 80053 | Comprehensive metabolic panel | 1.4% | 3,133 | 3,076 | $5K |
| 80061 | Lipid panel | 1.4% | 2,340 | 2,306 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,933 | 2,769 | $3K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,762 | 1,744 | $2K |
| 90674 | <1% | 87 | 83 | $1K | |
| 83721 | <1% | 2,074 | 2,055 | $1K |
48 more codes
| 99439 | <1% | 489 | $686.74 | |
| 90756 | <1% | 551 | $682.24 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 607 | $622.25 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 86 | $529.70 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $443.56 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $299.84 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 27 | $248.62 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 87 | $192.21 |
| 99497 | <1% | 160 | $168.40 | |
| 99441 | <1% | 46 | $110.54 | |
| 90694 | <1% | 67 | $85.60 | |
| 84439 | <1% | 62 | $82.62 | |
| 99442 | <1% | 65 | $76.56 | |
| 82044 | <1% | 146 | $71.62 | |
| 82570 | <1% | 145 | $56.19 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,176 | $26.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 912 | $0.00 |
| 1036F | 0% | 1,053 | $0.00 | |
| 0509F | 0% | 29 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 374 | $0.00 |
| 1101F | 0% | 750 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 698 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 386 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 631 | $0.00 |
| 3008F | 0% | 40 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 256 | $0.00 |
| 3044F | 0% | 14 | $0.00 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 50 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 43 | $0.00 |
| 1170F | 0% | 31 | $0.00 | |
| 1111F | 0% | 12 | $0.00 | |
| 1123F | 0% | 28 | $0.00 | |
| 1126F | 0% | 15 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 112 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 262 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 479 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 916 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 847 | $0.00 |
| 1160F | 0% | 107 | $0.00 | |
| 1159F | 0% | 134 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 266 | $0.00 |
| 4040F | 0% | 463 | $0.00 | |
| 1100F | 0% | 91 | $0.00 | |
| 99487 | Ccm add 20min | 0% | 13 | $0.00 |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 0% | 12 | $0.00 |
| 3725F | 0% | 30 | $0.00 | |
| 3078F | 0% | 13 | $0.00 | |
| 3288F | 0% | 12 | $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 officialGEORGE, SATHIYARAJ (OWNER)