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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBeatriz Meza-valencia
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    Beatriz Meza-valencia — Billing Profile & Reimbursement Data

    NPI 1073595914 · Apo, AP · Pediatrics Physician

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    Beatriz Meza-valencia is a pediatrics physician provider located in Apo, Armed Forces Pacific. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBeatriz Meza-valencia
    Address121 General Hospital
    CityApo
    StateAP (Armed Forces Pacific)
    ZIP96205
    TaxonomyPediatrics Physician
    NPI EnumeratedNovember 16, 2005

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

    Payer SourceTotal Paid
    Medicaid$3K
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and reports $3K in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid-only) in the claims data available. Analysts should treat the entity as having minimal exposure to traditional Medicare populations based on the absence of Medicare claims.

    The NPI was enumerated on 2005-11-16 (~21 years ago), indicating the provider has been registered for two decades. Tenure of this length suggests an established billing identity despite the very small reported Medicaid income.

    Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and that concentration is entirely captured by a single code, T1015. This means all reported Medicaid revenue is driven by one service category rather than a mix of procedures or visits.

    The only billed Medicaid code is T1015, described as Clinic visit/encounter, all-inclusive; the record shows 18 claims at an average paid amount of $169 per claim, totaling $3K in revenue. This code mix indicates the practice activity recorded in Medicaid is clinic-based, consistent with episodic outpatient encounters rather than procedure-heavy or specialty procedural work.

    Competitive standing within the state is limited and not broadly benchmarkable: the provider ranks #1 of 1 providers in-state for the reported code but is listed at the 0th percentile with a note that no state peer volume comparison is available. That combination signals there is either only one provider record in the state dataset for this code or extremely sparse peer data, so the rank does not equate to demonstrated market dominance.

    The small claim volume (18 claims) and low total Medicaid revenue ($3K) mean this provider represents a very modest financial presence for payers and network planners. From a payer risk or contracting perspective, the provider would be low-priority for high-touch engagement or broad network negotiations based solely on these Medicaid claims.

    For auditors and quality reviewers, the uniformity of billing (100.0% of Medicaid revenue from T1015) and the limited transaction set suggest decisions should be made cautiously: the sample size is small, so utilization patterns may not be stable or representative of broader clinical activity. Any operational or quality inferences drawn from this dataset should be validated against additional sources (e.g., state enrollment lists, facility affiliations, or more recent claims) before taking action.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive20$170$3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Pacific providers billing the same CPT/HCPCS codes. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Pacific median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive11020$170$3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Beatriz Meza-valencia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neighborhealth CorporationMACommunity Health Clinic/Center$0$17M
    Boston University Medical Center Radiologists, Inc.MADiagnostic Radiology Physician$0$12.8M
    Peter LouMAOphthalmology Physician$371.5K$0
    Margaret ChapmanWANeuroradiology Physician$291.6K$8.8K
    Ajay SinghPADiagnostic Radiology Physician$290.3K$6K
    Nikolaos MichalacosMAInternal Medicine Physician$251.5K$0
    Michael FishmanMADiagnostic Radiology Physician$183.3K$2K
    David BergerMASurgery Physician$177.7K$0
    Matthew MaederNHDiagnostic Radiology Physician$165.4K$0
    Logan FrankMODiagnostic Radiology Physician$152.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Beatriz Meza-valencia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Britton BirtcherAP (Armed Forces Pacific)Dentist$0$285.8K
    Jiyoon KimAP (Armed Forces Pacific)Diagnostic Radiology Physician$191.9K$0
    Adam AshAP (Armed Forces Pacific)Emergency Medicine Physician$104.2K$23.7K
    Jeremy RichAP (Armed Forces Pacific)Otolaryngology Physician$44K$0
    Daniel Martens—Physician Assistant$18.8K$0
    Christopher MetcalfAP (Armed Forces Pacific)Physician Assistant$17.6K$0
    Harry AubinAP (Armed Forces Pacific)Surgery Physician$13K$0
    Yanghoe KooAP (Armed Forces Pacific)General Practice Dentistry$0$470

    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.

    Medicaid Revenue by Year vs. Armed Forces Pacific Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Pacific Distribution
    Beatriz Meza-valencia — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Pacific