Del Valle, Enid

Del Valle, Enid was paid $533K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoDEL VALLE, ENID
SAN JUAN, PR 00912

33aNPI1891899241assigned 09/07/2006

33bProvider typePediatric Rheumatology Physician

28Total paid$533K

24GClaims5,807

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Rheumatology Physician providers in Puerto Rico

Rank by total paid#2 of 6

Median peer was paid$435K

This provider vs. median1.2×

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	508	$26K
2019	559	$28K
2020	902	$57K
2021	772	$58K
2022	917	$85K
2023	1,065	$137K
2024incomplete	1,084	$142K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	60%	3,806	3,439	$319K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	30%	1,509	1,395	$161K
99245		5.4%	337	328	$29K
99205	Prolong outpt/office vis	4.1%	100	88	$22K
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%	55	52	$2K

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.