RAFAEL VALENCIA, M.D.
3150 N TENAYA WAY STE. 320, LAS VEGAS, NV 89128
NPI Number
1366494247
Practice location · View on Google Maps
Total Medicaid Payments
$121,080
-67% vs specialty average
Patients Seen
903
Total Claims
971
$ Per Patient
$134
Specialty avg: $35
Specialty Rank
#18 of 93
Internal Medicine, Cardiovascular Disease providers in Nevada
Peer Average
$369,495
Average total for Internal Medicine, Cardiovascular Disease
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $121,080 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine imaging (using small amounts of radioactive material) | 63 | $32,080 | 26.5% | $509 |
| 93306 | Heart ultrasound (echocardiogram) | 178 | $32,003 | 26.4% | $180 |
| 99214 | Office visit for a moderate problem (established patient) | 237 | $25,229 | 20.8% | $106 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 63 | $11,596 | 9.6% | $184 |
| 99204 | New patient office visit — detailed visit for a serious problem | 56 | $9,337 | 7.7% | $167 |
| 93015 | Heart monitoring test (ECG/EKG) | 110 | $7,237 | 6.0% | $66 |
| 93000 | Heart monitoring test (ECG/EKG) | 121 | $1,824 | 1.5% | $15 |
| 93224 | Heart rhythm monitoring (Holter monitor or event recorder) | 14 | $1,169 | 1.0% | $83 |
| 93010 | Heart monitoring test (ECG/EKG) | 129 | $606 | 0.5% | $5 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.