Physician
Valley Urology INC
Valley Urology INC was paid $342K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoVALLEY UROLOGY INC
FRESNO, CA 93710
FRESNO, CA 93710
33aNPI1952417438assigned 08/21/2006
33bProvider typeUrology Physician
28Total paid$342K
24GClaims138,822
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urology Physician providers in California
Rank by total paid#34 of 171
Median peer was paid$20K
This provider vs. median17×
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 | 21,863 | $43K | |
| 2019 | 18,652 | $51K | |
| 2020 | 20,495 | $67K | |
| 2021 | 19,161 | $52K | |
| 2022 | 22,597 | $59K | |
| 2023 | 21,603 | $33K | |
| 2024incomplete | 14,451 | $37K |
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 | 27% | 19,485 | 18,430 | $92K |
| 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 | 14% | 5,975 | 5,834 | $46K |
| 51700 | 11% | 6,699 | 4,938 | $37K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 8,447 | 7,417 | $29K |
| 51728 | 6.5% | 905 | 890 | $22K | |
| 51798 | 5.5% | 8,016 | 7,436 | $19K | |
| 52000 | 4.7% | 2,506 | 2,429 | $16K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.0% | 2,602 | 2,422 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 6,636 | 4,879 | $8K |
| 74018 | 2.1% | 4,421 | 4,214 | $7K | |
| J1071 | Injection, testosterone cypionate, 1 mg | 1.8% | 11,337 | 8,123 | $6K |
| 84153 | 1.7% | 5,605 | 5,493 | $6K |
26 more codes
| 51784 | 1.5% | 970 | $5K | |
| 81003 | 1.4% | 17,913 | $5K | |
| 51797 | 1.3% | 855 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,196 | $3K |
| 84403 | <1% | 2,668 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 5,765 | $2K |
| 51725 | <1% | 660 | $2K | |
| 84270 | <1% | 2,639 | $2K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 149 | $2K |
| 51741 | <1% | 1,099 | $2K | |
| 74178 | <1% | 109 | $2K | |
| 80047 | <1% | 3,283 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 961 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,068 | $716.59 |
| 87088 | <1% | 1,312 | $515.74 | |
| 85014 | <1% | 3,213 | $487.38 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 1,193 | $372.29 |
| 85018 | <1% | 3,195 | $322.82 | |
| 87184 | <1% | 1,294 | $230.68 | |
| 51702 | <1% | 13 | $150.34 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 137 | $133.20 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | <1% | 12 | $107.56 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 124 | $67.60 |
| J3480 | Injection, potassium chloride, per 2 meq | <1% | 180 | $0.10 |
| 96402 | 0% | 12 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 168 | $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 officialRAINWATER, HAROLD (OWNER)