Physician
Valle Verde Medical Group INC
Valle Verde Medical Group INC was paid $390K by Medicaid between Jan 2018 and Jun 2021, across 43 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 14% of everything it billed.
33Billing provider infoVALLE VERDE MEDICAL GROUP INC
SALINAS, CA 93906
SALINAS, CA 93906
33aNPI1558472720assigned 08/31/2006
33bProvider typeFamily Medicine Physician
28Total paid$390K
24GClaims19,327
24DCodes billed43
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#302 of 2,511
Median peer was paid$13K
This provider vs. median30×
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 | 6,284 | $161K | |
| 2019 | 5,842 | $122K | |
| 2020 | 4,966 | $74K | |
| 2021 | 2,235 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 728 | 714 | $53K |
| 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 | 14% | 4,970 | 4,587 | $53K |
| 59514 | 11% | 217 | 217 | $44K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 5,798 | 5,250 | $39K |
| 59425 | 9.6% | 437 | 293 | $38K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 325 | 324 | $22K |
| H1003 | Prenatal care, at-risk enhanced service; education | 5.6% | 769 | 613 | $22K |
| 90686 | 5.2% | 1,132 | 1,119 | $20K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 212 | 212 | $18K |
| Z1034 | 4.2% | 305 | 204 | $16K | |
| 90670 | 2.1% | 510 | 502 | $8K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.9% | 12 | 12 | $8K |
31 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 1,395 | $7K |
| 90648 | 1.8% | 406 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 63 | $7K |
| 90723 | <1% | 215 | $4K | |
| Z6410 | <1% | 135 | $4K | |
| 90707 | <1% | 117 | $2K | |
| 97803 | <1% | 88 | $2K | |
| 90685 | <1% | 109 | $2K | |
| 90716 | <1% | 86 | $2K | |
| 90682 | <1% | 50 | $2K | |
| 99381 | <1% | 12 | $1K | |
| Z6400 | <1% | 60 | $1K | |
| 92552 | <1% | 40 | $1K | |
| 90681 | <1% | 56 | $999.00 | |
| 90688 | <1% | 43 | $808.32 | |
| 85018 | <1% | 341 | $788.61 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $749.45 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 76 | $654.03 |
| Z6204 | <1% | 25 | $620.74 | |
| 90633 | <1% | 27 | $486.00 | |
| 81003 | <1% | 117 | $256.67 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $252.56 |
| 90651 | <1% | 14 | $252.00 | |
| 90734 | <1% | 12 | $216.00 | |
| 86580 | <1% | 33 | $173.19 | |
| 81025 | <1% | 40 | $162.22 | |
| 99401 | <1% | 12 | $100.92 | |
| 90662 | <1% | 83 | $85.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 44 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 169 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 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 officialSAGLIO, STEPHEN (CHIEF EXECUTIVE OFFICER)