Valle, Herminigildo

Valle, Herminigildo was paid $193K by Medicaid between Jun 2020 and Oct 2024, across 5 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 82% of everything it billed.

33Billing provider infoVALLE, HERMINIGILDO
DALY CITY, CA 94015

33aNPI1689758526assigned 10/25/2006

33bProvider typeInternal Medicine Physician

28Total paid$193K

24GClaims6,764

24DCodes billed5

24AFirst – last monthJun 2020 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#459 of 2,679

Median peer was paid$13K

This provider vs. median15×

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
2020	610	$14K
2021	1,610	$35K
2022	1,116	$29K
2023	1,628	$44K
2024incomplete	1,800	$71K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	82%	5,479	3,521	$158K
99308	Subsequent nursing facility care, per day, straightforward	8.1%	540	360	$16K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.5%	576	137	$13K
99306	Prolong nursin fac eval 15m	2.5%	116	115	$5K
99316		1.1%	53	53	$2K

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.