Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Valley Women's Care PLLC

Valley Women's Care PLLC was paid $954K by Medicaid between Jan 2019 and Dec 2024, across 36 billing codes. Its largest line is 76818, — 23% of everything it billed.

33Billing provider infoVALLEY WOMEN'S CARE PLLC
MCALLEN, TX 78503
33aNPI1578684726assigned 04/03/2007
28Total paid$954K
24GClaims28,695
24DCodes billed36
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Texas

Rank by total paid#65 of 432
Median peer was paid$103K
This provider vs. median9.3×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201917$39.61
20201,190$30K
20215,204$182K
20227,681$254K
20237,661$252K
2024incomplete6,942$236K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76818 23% 2,531 1,024 $217K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 5,998 4,147 $187K
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 16% 3,518 2,115 $152K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6.4% 763 688 $61K
59430 6.2% 666 629 $60K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 5.0% 79 78 $48K
76830 Ultrasound, transvaginal 3.6% 380 365 $34K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3.4% 414 403 $33K
99000 2.9% 2,838 2,500 $27K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.0% 264 258 $19K
59514 1.7% 24 24 $16K
87800 1.6% 535 523 $15K
24 more codes
81003 1.2% 7,753 $12K
59020 1.2% 432 $11K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 88 $9K
99203 Doctor's office visit, new patient (routine) <1% 148 $8K
99222 Initial hospital care, per day, moderate complexity <1% 120 $6K
76801 <1% 55 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 378 $4K
99223 Prolong inpt eval add15 m <1% 45 $4K
90715 <1% 104 $4K
81025 <1% 625 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 55 $3K
90674 <1% 117 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 271 $3K
99219 <1% 31 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 26 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 25 $2K
99234 <1% 15 $1K
82950 <1% 301 $911.22
59025 Fetal non-stress test <1% 15 $536.90
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 26 $536.44
90661 <1% 15 $300.15
90472 Immunization administration, each additional vaccine (list separately) <1% 14 $112.10
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 13 $0.00
0503F 0% 13 $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 officialREYES, ALBERTA (ADMINISTRATOR)