Valle Medina, Abel

Valle Medina, Abel was paid $280K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 88% of everything it billed.

33Billing provider infoVALLE MEDINA, ABEL
BAYAMON, PR 00959

33aNPI1982615084assigned 08/11/2006

33bProvider typeGeneral Practice Physician

28Total paid$280K

24GClaims8,151

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#84 of 1,195

Median peer was paid$2K

This provider vs. median137×

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	1,245	$16K
2019	1,214	$21K
2020	717	$22K
2021	1,139	$43K
2022	982	$40K
2023	1,396	$56K
2024incomplete	1,458	$82K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	88%	6,894	6,141	$245K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	9.4%	387	332	$26K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.3%	856	769	$6K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	<1%	14	13	$2K

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.