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

Valdez Family Clinic, P.A.

Valdez Family Clinic, P.A. was paid $283K by Medicaid between Jan 2018 and Sep 2023, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoVALDEZ FAMILY CLINIC, P.A.
SAN ANTONIO, TX 78224
33aNPI1932154929assigned 05/24/2006
28Total paid$283K
24GClaims44,445
24DCodes billed42
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#242 of 1,204
Median peer was paid$31K
This provider vs. median9.2×

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

$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
2018671$4K
2019943$5K
20204,034$26K
202120,106$129K
202216,801$106K
20231,890$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 3,436 3,072 $136K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 2,701 2,439 $80K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12% 458 439 $35K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.1% 174 170 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.5% 99 97 $7K
92552 1.6% 371 357 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 1.6% 564 307 $4K
99000 <1% 189 186 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 24 24 $2K
96160 <1% 872 849 $1K
97169 <1% 37 37 $996.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 29 29 $660.27
30 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 $427.68
90686 <1% 136 $368.49
80305 <1% 33 $327.98
99422 <1% 13 $287.38
90461 <1% 34 $206.79
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 15 $188.40
99173 <1% 803 $65.28
81003 <1% 14 $20.79
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 0% 250 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 314 $0.00
4013F 0% 149 $0.00
3078F 0% 4,867 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 548 $0.00
1160F 0% 5,886 $0.00
1159F 0% 5,897 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 27 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 96 $0.00
90734 0% 24 $0.00
3077F 0% 12 $0.00
3079F 0% 1,487 $0.00
3075F 0% 1,071 $0.00
1220F 0% 722 $0.00
1126F 0% 3,808 $0.00
3074F 0% 5,226 $0.00
1036F 0% 1,573 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 164 $0.00
1125F 0% 1,940 $0.00
3044F 0% 99 $0.00
36415 Collection of venous blood by venipuncture 0% 207 $0.00
1034F 0% 63 $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 officialVALDEZ, ALICIA (PRESIDENT)
Same official

Other billing entities under VALDEZ, ALICIA

Full network →
ProviderLocationPaid
Valdez Family Clinic, P.A.San Antonio, TX$250.08

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.