Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Del Valle
    Ask Trek AI about this page

    Paul Del Valle — Billing Profile & Reimbursement Data

    NPI 1003027202 · Newark, OH · Anesthesiology Physician

    Customize your policy alerts

    Sign up for Paul Del Valle — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Paul Del Valle is a anesthesiology physician provider located in Newark, Ohio. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Del Valle
    Address1320 W Main St
    CityNewark
    StateOH
    ZIP43055
    TaxonomyAnesthesiology Physician
    NPI EnumeratedMay 28, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$23.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…40$80$3.2K
    01922The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.40$70$2.9K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…40$70$2.6K
    00670The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…10$200$2.4K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.20$140$2.3K
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.20$130$2.1K
    01230The provider performs anesthesia services for a patient undergoing an open procedure of the upper two thirds of the femur, or the thigh bone, the long bone that extends from the pelvis to the knee.20$130$2K
    00520The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…10$110$1.4K
    00914The provider performs anesthesia services for a patient undergoing removal of the prostate gland through the urethra, which is the opening for the outflow of urine.20$80$1.2K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…10$90$1.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0067014420020$280$4.7K
    0140236963020$150$3.7K
    0121412829020$160$2.9K
    008112991,33020$80$2.7K
    005207110010$110$2.2K
    007312791,70020$80$2.1K
    0081343555020$90$2.1K
    0123033010$140$1.9K
    01922215010$100$1.7K
    00914184010$90$1.5K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Paul Del Valle, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trident Anesthesia Group, LLCSCAnesthesiology Physician$0$1.7M
    Bruce JohnsonSCPain Medicine (Anesthesiology) Physician$379.6K$0
    Christopher MitchellOHPhysician Assistant$290K$0
    Jonathan GardnerSCInterventional Pain Medicine Physician$244.6K$0
    Alexander GolovlevSCAnesthesiology Physician$216.4K$0
    Baptiste MarinoNCGeneral Practice Physician$202.5K$0
    Kassia SilvaFLInterventional Pain Medicine Physician$193K$0
    Kelly GignacFLCertified Registered Nurse Anesthetist$174.4K$0
    Ladden HerrmannFLCertified Registered Nurse Anesthetist$161.4K$0
    Francis JonesSCAnesthesiology Physician$158K$0

    Nearby Providers

    Other providers in the same ZIP code as Paul Del Valle, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Licking Memorial HospitalOHGeneral Acute Care Hospital$0$55.9M
    Hospice Of Central OhioOHCommunity Based Hospice Care Agency$0$28M
    Licking Memorial Health ProfessionalsOHFamily Medicine Physician$0$23.9M
    Behavioral Healthcare Partners Of Central Ohio IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$14M
    City Of NewarkOHLand Ambulance$505.9K$2M
    Courtesy Ambulance, Inc.OHLand Ambulance$343.3K$1.8M
    Licking CountyOHPublic Health or Welfare Agency$31.4K$524.4K
    Chuck ChoOHRadiation Oncology Physician$314.9K$0
    Thomas PetrykOHFamily Medicine Physician$274.7K$0
    Mark LawOHOphthalmology Physician$258.6K$490

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Paul Del Valle — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio