Physician
Theresa L.Valladares, M.D.P.A.
Theresa L.Valladares, M.D.P.A. was paid $347K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 25% of everything it billed.
33Billing provider infoTHERESA L.VALLADARES, M.D.P.A.
PHARR, TX 78577
PHARR, TX 78577
33aNPI1891803078assigned 08/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$347K
24GClaims21,573
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#219 of 1,204
Median peer was paid$31K
This provider vs. median11×
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 | 268 | $2K | |
| 2019 | 214 | $2K | |
| 2020 | 369 | $4K | |
| 2021 | 4,900 | $77K | |
| 2022 | 6,736 | $113K | |
| 2023 | 5,939 | $97K | |
| 2024incomplete | 3,147 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 25% | 2,334 | 1,956 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,351 | 1,972 | $83K |
| 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 | 17% | 1,392 | 1,258 | $57K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 9.0% | 2,256 | 1,153 | $31K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.3% | 1,446 | 1,345 | $18K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.9% | 2,523 | 2,268 | $14K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.8% | 900 | 873 | $10K |
| 84481 | 2.6% | 838 | 809 | $9K | |
| 99000 | 2.6% | 1,139 | 1,084 | $9K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 747 | 523 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 83 | 70 | $5K |
| 84439 | 1.5% | 886 | 861 | $5K |
19 more codes
| 80061 | Lipid panel | <1% | 395 | $3K |
| 82947 | <1% | 611 | $2K | |
| 81000 | <1% | 509 | $2K | |
| 90686 | <1% | 353 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $931.92 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 174 | $862.67 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 43 | $660.94 |
| 90688 | <1% | 41 | $544.68 | |
| 78268 | <1% | 14 | $317.20 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $300.48 |
| 96160 | <1% | 123 | $140.16 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $114.96 |
| 82044 | <1% | 41 | $65.91 | |
| 82570 | <1% | 41 | $58.04 | |
| 78267 | <1% | 27 | $37.16 | |
| 3078F | 0% | 607 | $0.00 | |
| 3074F | 0% | 544 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,099 | $0.00 |
| 3044F | 0% | 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.
From NPPES
Who's on the registration
Authorized officialVALLADARES, THERESA (MEDICAL DOCTOR / PHYSICIAN OWNER)