Physician
Valenzuela Medical Group I, INC.
Valenzuela Medical Group I, INC. was paid $705K by Medicaid between Jan 2018 and Nov 2024, across 68 billing codes. Its largest line is 59425, — 30% of everything it billed.
33Billing provider infoVALENZUELA MEDICAL GROUP I, INC.
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
33aNPI1952485641assigned 10/25/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$705K
24GClaims95,960
24DCodes billed68
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#151 of 791
Median peer was paid$67K
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 | 12,884 | $180K | |
| 2019 | 15,612 | $171K | |
| 2020 | 11,727 | $72K | |
| 2021 | 13,367 | $86K | |
| 2022 | 13,755 | $76K | |
| 2023 | 14,685 | $57K | |
| 2024incomplete | 13,930 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 30% | 3,485 | 2,513 | $210K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 4,713 | 4,416 | $74K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 4,401 | 4,119 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 1,776 | 1,742 | $69K |
| J3490 | Unclassified drugs | 6.1% | 572 | 542 | $43K |
| Z1034 | 4.4% | 561 | 406 | $31K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 3,050 | 3,026 | $26K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 3.1% | 4,082 | 4,036 | $22K |
| G9920 | Screening performed and negative | 2.7% | 5,996 | 5,969 | $19K |
| 99381 | 2.4% | 276 | 266 | $17K | |
| 81025 | 1.5% | 3,099 | 2,950 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 84 | 83 | $10K |
56 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 2,767 | $10K |
| 81003 | 1.4% | 5,183 | $10K | |
| 59430 | 1.3% | 141 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 1,875 | $7K |
| 88141 | <1% | 167 | $6K | |
| 90648 | <1% | 1,517 | $6K | |
| 92551 | <1% | 7,051 | $6K | |
| 90723 | <1% | 1,068 | $6K | |
| 90670 | <1% | 1,230 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 631 | $3K |
| 90680 | <1% | 582 | $3K | |
| 90686 | <1% | 2,183 | $3K | |
| 90715 | <1% | 217 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 308 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 530 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 280 | $2K |
| 3351F | <1% | 68 | $2K | |
| Z1032 | <1% | 12 | $2K | |
| 85014 | <1% | 8,207 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 246 | $1K |
| 85018 | <1% | 8,380 | $1K | |
| 90633 | <1% | 705 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 435 | $1K |
| 3074F | <1% | 31 | $950.00 | |
| 99383 | <1% | 54 | $796.52 | |
| 99382 | <1% | 15 | $759.13 | |
| 88142 | <1% | 44 | $718.13 | |
| 99384 | <1% | 12 | $592.48 | |
| 90677 | <1% | 184 | $441.00 | |
| 90716 | <1% | 148 | $440.82 | |
| 90651 | <1% | 613 | $395.28 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 566 | $371.12 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 31 | $249.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,202 | $234.53 |
| 90685 | <1% | 101 | $188.91 | |
| 90696 | <1% | 125 | $188.91 | |
| 90710 | <1% | 144 | $179.91 | |
| 90734 | <1% | 233 | $161.82 | |
| 83655 | <1% | 445 | $105.24 | |
| 86580 | <1% | 31 | $96.57 | |
| 90700 | <1% | 56 | $80.82 | |
| 90713 | <1% | 13 | $72.00 | |
| 90707 | <1% | 70 | $54.00 | |
| 90620 | <1% | 252 | $54.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 43 | $8.89 |
| 99173 | <1% | 5,590 | $6.54 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,392 | $0.00 |
| 96160 | 0% | 43 | $0.00 | |
| 3078F | 0% | 70 | $0.00 | |
| 99071 | 0% | 16 | $0.00 | |
| 1036F | 0% | 1,571 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,552 | $0.00 |
| 96161 | 0% | 1,210 | $0.00 | |
| 3008F | 0% | 16 | $0.00 | |
| 90619 | 0% | 196 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 13 | $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 officialVALENZUELA, GUILLERMO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Valley Obstetrics & Gynecology Medical Group, INC. | Colton, CA | $10.24M |
| Mommy and Me Medical Group, INC. | Riverside, CA | $7.78M |
| Inland Faculty Specialists, a California Professional Corporation | Riverside, CA | $3.32M |
| Pacific Perinatal Institute | Colton, CA | $1.96M |
| Guillermo Valenzuela MD PA | Plantation, FL | $134K |
| Senior's Choice Medical Group, INC. | Fontana, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.