Physician
Valles Y Diaz Doctores En Medicina Y Neumologia C.S.P
Valles Y Diaz Doctores En Medicina Y Neumologia C.S.P was paid $198K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoVALLES Y DIAZ DOCTORES EN MEDICINA Y NEUMOLOGIA C.S.P
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1538146386assigned 12/22/2005
33bProvider typePulmonary Disease Physician
28Total paid$198K
24GClaims4,237
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Puerto Rico
Rank by total paid#15 of 55
Median peer was paid$68K
This provider vs. median2.9×
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 | 1,205 | $30K | |
| 2019 | 884 | $25K | |
| 2020 | 353 | $21K | |
| 2021 | 371 | $21K | |
| 2022 | 441 | $27K | |
| 2023 | 385 | $29K | |
| 2024incomplete | 598 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 2,512 | 2,078 | $113K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 392 | 369 | $24K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.7% | 384 | 194 | $19K |
| 99223 | Prolong inpt eval add15 m | 4.7% | 66 | 61 | $9K |
| 94060 | 4.0% | 188 | 176 | $8K | |
| 99254 | 2.9% | 125 | 111 | $6K | |
| 94729 | 2.5% | 126 | 121 | $5K | |
| 94727 | 2.5% | 126 | 121 | $5K | |
| 94200 | 1.8% | 207 | 191 | $4K | |
| 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 | 1.5% | 31 | 31 | $3K |
| 99255 | <1% | 42 | 42 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 24 | 13 | $433.95 |
1 more codes
| 94375 | <1% | 14 | $341.00 |
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 officialVALLES, JOSE (PRESIDENT)