Physician
Clinica Medica Del Valle, INC.
Clinica Medica Del Valle, INC. was paid $1.58M by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is 95144, — 88% of everything it billed.
33Billing provider infoCLINICA MEDICA DEL VALLE, INC.
COACHELLA, CA 92236
COACHELLA, CA 92236
33aNPI1790921641assigned 12/24/2008
33bProvider typePediatric Surgery Physician
28Total paid$1.58M
24GClaims73,700
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Surgery Physician providers in California
Rank by total paid#2 of 11
Median peer was paid$17K
This provider vs. median91×
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 | 6,816 | $30K | |
| 2019 | 8,396 | $3K | |
| 2020 | 6,699 | $1K | |
| 2021 | 7,148 | $2K | |
| 2022 | 7,632 | $2K | |
| 2023 | 19,978 | $936K | |
| 2024incomplete | 17,031 | $604K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95144 | 88% | 7,756 | 827 | $1.39M | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 6.8% | 798 | 797 | $107K |
| 95117 | 2.0% | 3,526 | 870 | $32K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 24,429 | 20,356 | $23K |
| 92552 | <1% | 1,392 | 1,388 | $12K | |
| 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 | <1% | 1,386 | 1,374 | $8K |
| 99441 | <1% | 28 | 28 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 465 | 465 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 552 | 552 | $523.41 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 512 | 512 | $282.84 |
| 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 | <1% | 1,072 | 1,028 | $256.17 |
| 86580 | <1% | 68 | 65 | $195.07 |
37 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 465 | $119.68 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 74 | $114.76 |
| 81001 | <1% | 1,717 | $102.46 | |
| 85018 | <1% | 1,962 | $91.98 | |
| 99381 | <1% | 19 | $60.00 | |
| 99173 | <1% | 483 | $41.74 | |
| 92551 | <1% | 18 | $15.84 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 522 | $15.15 |
| 99499 | <1% | 8,595 | $4.85 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 522 | $2.97 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 712 | $1.98 |
| 3078F | 0% | 59 | $0.00 | |
| 1159F | 0% | 6,017 | $0.00 | |
| 1160F | 0% | 6,013 | $0.00 | |
| 81002 | 0% | 241 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 64 | $0.00 |
| 3077F | 0% | 138 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 24 | $0.00 |
| 4004F | 0% | 170 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 15 | $0.00 |
| 90734 | 0% | 12 | $0.00 | |
| 1036F | 0% | 1,963 | $0.00 | |
| 3017F | 0% | 431 | $0.00 | |
| 90650 | 0% | 16 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 455 | $0.00 |
| 3074F | 0% | 78 | $0.00 | |
| 3080F | 0% | 129 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 142 | $0.00 |
| 3075F | 0% | 53 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 33 | $0.00 |
| 1125F | 0% | 219 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $0.00 |
| 99000 | 0% | 29 | $0.00 | |
| 88141 | 0% | 12 | $0.00 | |
| 3044F | 0% | 203 | $0.00 | |
| 90686 | 0% | 12 | $0.00 | |
| 3079F | 0% | 86 | $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 officialACOSTA, JUAN (PRESIDENT)