Physician
Rainilda P. Valencia, M.D., INC.
Rainilda P. Valencia, M.D., INC. was paid $36K by Medicaid between Jul 2019 and Sep 2024, across 70 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 99% of everything it billed.
33Billing provider infoRAINILDA P. VALENCIA, M.D., INC.
VICTORVILLE, CA 92395
VICTORVILLE, CA 92395
33aNPI1548539653assigned 12/19/2011
33bProvider typePediatrics Physician
28Total paid$36K
24GClaims121,198
24DCodes billed70
24AFirst – last monthJul 2019 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#632 of 1,490
Median peer was paid$15K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2019 | 6,118 | $3K | |
| 2020 | 14,518 | $5K | |
| 2021 | 25,365 | $6K | |
| 2022 | 26,280 | $8K | |
| 2023 | 26,899 | $9K | |
| 2024incomplete | 22,018 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 99% | 8,720 | 8,632 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,653 | 1,636 | $68.68 |
| 99384 | <1% | 117 | 117 | $65.12 | |
| 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% | 7,710 | 7,104 | $49.92 |
| 92552 | <1% | 9,561 | 9,446 | $30.30 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | 13 | $18.56 |
| 90686 | <1% | 3,765 | 3,751 | $15.00 | |
| 90734 | <1% | 1,607 | 1,597 | $10.00 | |
| 90651 | <1% | 1,994 | 1,985 | $10.00 | |
| 90620 | <1% | 905 | 902 | $10.00 | |
| 94760 | <1% | 621 | 602 | $5.53 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,335 | 3,300 | $0.01 |
58 more codes
| 90681 | 0% | 446 | $0.00 | |
| 90648 | 0% | 2,045 | $0.00 | |
| 90671 | 0% | 600 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 5,691 | $0.00 |
| 99188 | 0% | 4,018 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,043 | $0.00 |
| 99173 | 0% | 9,401 | $0.00 | |
| 96160 | 0% | 2,075 | $0.00 | |
| 90633 | 0% | 1,459 | $0.00 | |
| 1159F | 0% | 2,610 | $0.00 | |
| 90710 | 0% | 604 | $0.00 | |
| 90700 | 0% | 678 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 4,166 | $0.00 |
| 90670 | 0% | 1,353 | $0.00 | |
| 90715 | 0% | 904 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 3,145 | $0.00 |
| 1160F | 0% | 2,967 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 217 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,099 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,049 | $0.00 |
| A4614 | Peak expiratory flow rate meter, hand held | 0% | 459 | $0.00 |
| 81003 | 0% | 200 | $0.00 | |
| 90707 | 0% | 393 | $0.00 | |
| 99408 | 0% | 264 | $0.00 | |
| 90713 | 0% | 70 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 400 | $0.00 |
| 1033F | 0% | 537 | $0.00 | |
| 1032F | 0% | 46 | $0.00 | |
| 99382 | 0% | 67 | $0.00 | |
| 91320 | 0% | 13 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 31 | $0.00 |
| 0071A | 0% | 79 | $0.00 | |
| 91312 | 0% | 12 | $0.00 | |
| 90696 | 0% | 514 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 913 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 3,192 | $0.00 |
| 96156 | 0% | 742 | $0.00 | |
| 3008F | 0% | 14,501 | $0.00 | |
| 90716 | 0% | 467 | $0.00 | |
| 96127 | 0% | 751 | $0.00 | |
| 90723 | 0% | 1,197 | $0.00 | |
| 2001F | 0% | 26 | $0.00 | |
| 91307 | 0% | 118 | $0.00 | |
| 99383 | 0% | 507 | $0.00 | |
| 1005F | 0% | 2,227 | $0.00 | |
| 94010 | 0% | 424 | $0.00 | |
| 2010F | 0% | 2,465 | $0.00 | |
| 1036F | 0% | 923 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 96161 | 0% | 665 | $0.00 | |
| 90480 | 0% | 98 | $0.00 | |
| 1031F | 0% | 307 | $0.00 | |
| 92567 | 0% | 14 | $0.00 | |
| 2000F | 0% | 849 | $0.00 | |
| 91319 | 0% | 15 | $0.00 | |
| 91315 | 0% | 29 | $0.00 | |
| 0072A | 0% | 88 | $0.00 | |
| 1125F | 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 officialKIDWELL, MARYELLEN (OFFICE MANAGER)