Valencia, Teresita

Valencia, Teresita was paid $48K by Medicaid between Jan 2018 and Oct 2020, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoVALENCIA, TERESITA
PATERSON, NJ 07501

33aNPI1952499352assigned 10/11/2006

33bProvider typePediatrics Physician

28Total paid$48K

24GClaims1,037

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#353 of 549

Median peer was paid$154K

This provider vs. median0.3×

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	353	$20K
2019	370	$18K
2020	314	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	82%	677	571	$40K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.3%	38	38	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	4.3%	83	79	$2K
90620		3.9%	12	12	$2K
92551		<1%	30	30	$483.00
90688		<1%	18	16	$321.12
99173		<1%	55	55	$270.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	31	31	$225.68
96127		<1%	45	45	$133.20
3008F		<1%	33	32	$33.00
96160		<1%	15	15	$22.65

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.