Vallenilla Marte, Mircia

Vallenilla Marte, Mircia was paid $2K by Medicaid between May 2018 and Nov 2020, across 2 billing codes. Its largest line is 99281, Emergency department visit for the evaluation and management, self-limited or minor — 84% of everything it billed.

33Billing provider infoVALLENILLA MARTE, MIRCIA
RIO GRANDE, PR 00745

33aNPI1487886727assigned 08/20/2009

33bProvider typeGeneral Practice Physician

28Total paid$2K

24GClaims170

24DCodes billed2

24AFirst – last monthMay 2018 – Nov 2020

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#600 of 1,195

Median peer was paid$2K

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	18	$150.96
2019	14	$315.79
2020	138	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99281	Emergency department visit for the evaluation and management, self-limited or minor	84%	156	148	$2K
99234		16%	14	14	$315.79

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.