Valley PM&R Specialists, P.A.

Valley PM&R Specialists, P.A. was paid $391.32 by Medicaid between Jan 2018 and Feb 2019, across 7 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 48% of everything it billed.

33Billing provider infoVALLEY PM&R SPECIALISTS, P.A.
MCALLEN, TX 78503

33aNPI1538167549assigned 07/13/2005

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$391.32

24GClaims1,299

24DCodes billed7

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Texas

Rank by total paid#73 of 96

Median peer was paid$4K

This provider vs. median0.1×

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	1,210	$391.32
2019	89	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	48%	40	40	$186.30
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	35%	931	232	$138.56
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	17%	206	163	$66.46
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	12	12	$0.00
99223	Prolong inpt eval add15 m	0%	61	60	$0.00
99239	Hospital discharge day management, more than 30 minutes	0%	37	35	$0.00
G8754	Most recent diastolic blood pressure < 90 mmhg	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 officialVISWAMITRA, SAROJA (OWNER)