Physician
Julia W Valdez M D INC
Julia W Valdez M D INC was paid $36K by Medicaid between Jan 2018 and Apr 2024, across 14 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 41% of everything it billed.
33Billing provider infoJULIA W VALDEZ M D INC
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
33aNPI1477578250assigned 07/13/2006
33bProvider typeOphthalmology Physician
28Total paid$36K
24GClaims1,131
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#379 of 759
Median peer was paid$35K
This provider vs. median1.0×
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 | 366 | $13K | |
| 2019 | 16 | $734.27 | |
| 2021 | 12 | $0.00 | |
| 2022 | 95 | $4K | |
| 2023 | 630 | $18K | |
| 2024incomplete | 12 | $820.59 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 208 | 208 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 185 | 169 | $9K |
| 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 | 19% | 95 | 94 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 105 | 99 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 15 | 14 | $569.73 |
| 92015 | Determination of refractive state | 1.4% | 77 | 75 | $500.31 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 15 | 14 | $318.39 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 12 | 12 | $0.00 |
| 1036F | 0% | 218 | 215 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 74 | 74 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 53 | 52 | $0.00 |
| 5010F | 0% | 12 | 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 officialVALDEZ, VIVENCIO (ADMINISTRATOR)