Supplier
Guillermo Valenzuela MD PA
Guillermo Valenzuela MD PA was paid $134K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 96413, Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance — 50% of everything it billed.
33Billing provider infoGUILLERMO VALENZUELA MD PA
PLANTATION, FL 33324
PLANTATION, FL 33324
33aNPI1740549260assigned 05/04/2012
33bProvider typeNon-Pharmacy Dispensing Site
28Total paid$134K
24GClaims6,451
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Non-Pharmacy Dispensing Site providers in Florida
Rank by total paid#6 of 24
Median peer was paid$13K
This provider vs. median10×
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 | 724 | $5K | |
| 2019 | 868 | $30K | |
| 2020 | 730 | $25K | |
| 2021 | 1,010 | $36K | |
| 2022 | 1,138 | $19K | |
| 2023 | 1,254 | $12K | |
| 2024incomplete | 727 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 50% | 1,311 | 920 | $67K |
| 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 | 49% | 4,090 | 3,215 | $66K |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 526 | 357 | $227.56 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 414 | 294 | $201.48 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 110 | 75 | $13.45 |
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 officialVALENZUELA, GUILLERMO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Valley Obstetrics & Gynecology Medical Group, INC. | Colton, CA | $10.24M |
| Mommy and Me Medical Group, INC. | Riverside, CA | $7.78M |
| Inland Faculty Specialists, a California Professional Corporation | Riverside, CA | $3.32M |
| Pacific Perinatal Institute | Colton, CA | $1.96M |
| Valenzuela Medical Group I, INC. | Moreno Valley, CA | $705K |
| Senior's Choice Medical Group, INC. | Fontana, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.