Ricardo M. Valbuena, M.D., INC.

Ricardo M. Valbuena, M.D., INC. was paid $30K by Medicaid between Jan 2018 and May 2020, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoRICARDO M. VALBUENA, M.D., INC.
WILBURTON, OK 74578

33aNPI1972832343assigned 12/15/2009

33bProvider typeFamily Medicine Physician

28Total paid$30K

24GClaims855

24DCodes billed2

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#236 of 351

Median peer was paid$153K

This provider vs. median0.2×

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	400	$13K
2019	342	$11K
2020	113	$5K

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	86%	692	629	$26K
99309	Subsequent nursing facility care, per day, low to moderate complexity	14%	163	155	$4K

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 officialVALBUENA, RICARDO (PRESIDENT)