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

Vale, Stephanie

Vale, Stephanie was paid $122K by Medicaid between Jan 2020 and May 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 30% of everything it billed.

33Billing provider infoVALE, STEPHANIE
CAGUAS, PR 00725
33aNPI1821420902assigned 07/31/2013
33bProvider typeOphthalmology Physician
28Total paid$122K
24GClaims3,391
24DCodes billed11
24AFirst – last monthJan 2020 – May 2024
Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#81 of 141
Median peer was paid$163K
This provider vs. median0.7×

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$5.0K$10K$15K2018201920202021202220232024
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
2020470$12K
2021824$31K
2022613$22K
2023961$36K
2024incomplete523$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 30% 587 520 $37K
92134 24% 1,087 989 $29K
67028 Intravitreal injection of a pharmacologic agent 15% 138 111 $18K
92002 12% 237 220 $14K
92202 11% 1,068 991 $14K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.3% 55 49 $5K
92015 Determination of refractive state 1.5% 91 77 $2K
J9035 Injection, bevacizumab, 10 mg 1.2% 21 15 $1K
C9257 Injection, bevacizumab, 0.25 mg <1% 44 29 $973.00
92201 <1% 48 28 $189.20
99024 0% 15 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.