Clinic
Nuestra Clinica Del Valle, INC.
Nuestra Clinica Del Valle, INC. was paid $3.79M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoNUESTRA CLINICA DEL VALLE, INC.
SAN JUAN, TX 78589
SAN JUAN, TX 78589
33aNPI1891793246assigned 07/11/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.79M
24GClaims38,864
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Texas
Rank by total paid#56 of 248
Median peer was paid$796K
This provider vs. median4.8×
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 | 806 | $61K | |
| 2019 | 761 | $76K | |
| 2020 | 2,301 | $230K | |
| 2021 | 9,675 | $803K | |
| 2022 | 7,355 | $685K | |
| 2023 | 9,794 | $972K | |
| 2024incomplete | 8,172 | $963K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 71% | 18,404 | 12,992 | $2.71M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 5,792 | 3,679 | $444K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 7,613 | 6,005 | $335K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 4.1% | 279 | 267 | $156K |
| 59430 | 1.5% | 550 | 495 | $57K | |
| 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% | 1,083 | 1,019 | $36K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 1,188 | 1,080 | $32K |
| 59514 | <1% | 24 | 24 | $16K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | 27 | $3K |
| 81003 | <1% | 784 | 537 | $872.00 | |
| 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% | 16 | 14 | $589.30 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 242 | 233 | $465.74 |
26 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 17 | $328.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 77 | $320.66 |
| 90715 | <1% | 12 | $252.00 | |
| 90686 | <1% | 19 | $231.12 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | $194.60 |
| 81000 | <1% | 350 | $111.54 | |
| 82950 | <1% | 41 | $103.68 | |
| 86592 | <1% | 57 | $86.97 | |
| 80053 | Comprehensive metabolic panel | <1% | 746 | $70.96 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $56.44 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 199 | $48.96 |
| 82948 | <1% | 27 | $12.69 | |
| 80061 | Lipid panel | 0% | 164 | $0.00 |
| 3725F | 0% | 33 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 28 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 112 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 167 | $0.00 |
| 1036F | 0% | 37 | $0.00 | |
| 0011A | 0% | 205 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | $0.00 |
| 0064A | 0% | 92 | $0.00 | |
| 3008F | 0% | 126 | $0.00 | |
| 0012A | 0% | 215 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 15 | $0.00 |
| 0031A | 0% | 16 | $0.00 | |
| 1000F | 0% | 54 | $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 officialTORRES, MARIA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| San Antonio Independent School District | San Antonio, TX | $24.94M |
| NM Family Services LLC | Santa Teresa, NM | $8.05M |
| Maria Claudia Torres Dental Services PC | Jackson Heights, NY | $73K |
| Dental Health Care | Cayey, PR | $57K |
| Multicultural Family Solutions, LLC | Sterling, VA | $46K |
| Nuestra Clinica Del Valle INC | Mission, TX | $28K |
| Nuestra Clinica Del Valle, INC. | San Juan, TX | $9K |
| Maria E Torres MD PA | Fort Pierce, FL | $3K |
| Nuestra Clinica Del Valle INC | Mercedes, TX | $2K |
| Nuestra Clinica Del Valle INC | Rio Grande City, TX | $258.57 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.