Valley Women's Specialists, P.A.
Valley Women's Specialists, P.A. was paid $1.34M by Medicaid between Mar 2019 and Dec 2024, across 26 billing codes. Its largest line is 76818, — 27% of everything it billed.
33Billing provider infoVALLEY WOMEN'S SPECIALISTS, P.A.
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1992010730assigned 08/17/2010
33bProvider typeSpecialist
28Total paid$1.34M
24GClaims32,795
24DCodes billed26
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#32 of 382
Median peer was paid$29K
This provider vs. median46×
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 | |
|---|---|---|---|
| 2019 | 15 | $802.63 | |
| 2020 | 1,638 | $63K | |
| 2021 | 7,921 | $332K | |
| 2022 | 8,345 | $359K | |
| 2023 | 7,988 | $309K | |
| 2024incomplete | 6,888 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76818 | 27% | 3,948 | 1,057 | $356K | |
| 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 | 19% | 5,474 | 3,247 | $258K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 6,513 | 4,374 | $221K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 11% | 258 | 251 | $150K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 8.9% | 1,396 | 1,311 | $119K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.9% | 305 | 287 | $39K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.4% | 489 | 465 | $32K |
| 59430 | 2.3% | 329 | 310 | $30K | |
| 81002 | 2.0% | 10,213 | 4,934 | $26K | |
| 76801 | 1.5% | 213 | 209 | $20K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.4% | 188 | 184 | $19K |
| 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 | 1.4% | 241 | 232 | $19K |
14 more codes
| 76813 | <1% | 151 | $13K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 111 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 109 | $7K |
| 59025 | Fetal non-stress test | <1% | 191 | $7K |
| 81025 | <1% | 649 | $4K | |
| 87210 | <1% | 653 | $3K | |
| 83986 | <1% | 652 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | $1K |
| 87220 | <1% | 524 | $1K | |
| 90715 | <1% | 14 | $435.21 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $253.72 |
| 90686 | <1% | 12 | $232.05 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | $230.48 |
| 99080 | 0% | 98 | $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 officialBLANCO, RONALD (PRESIDENT)