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    OpenPayerNPI Medicare & MedicaidDavid Valentine
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    David Valentine — Billing Profile & Reimbursement Data

    NPI 1093192486 · South Pasadena, CA · Neurology Physician

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    David Valentine is a neurology physician provider located in South Pasadena, California. This profile covers 26 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Valentine
    Address625 Fair Oaks Ave Ste 175
    CitySouth Pasadena
    StateCA
    ZIP91030
    TaxonomyNeurology Physician
    NPI EnumeratedMay 5, 2015

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

    Payer SourceTotal Paid
    Medicare$233.3K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…90$410$37.7K
    95861In this procedure, the provider uses an electromyograph to record electrical activity that skeletal muscle cells produce while the provider inserts needles into the muscle during rest and while…420$60$26K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…210$110$21.9K
    95939The provider performs a central motor evoked potential study in the upper and lower limbs for diagnosis of multiple sclerosis and as a prognostic indicator for stroke motor recovery.220$90$19.7K
    95955In this procedure, the provider uses electroencephalographic monitoring of a patient during nonintracranial surgery like cardiac surgery or carotid stenting.450$40$18.3K
    95938In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider…480$30$16.5K
    95913In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…60$250$13.9K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$190$11K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…130$90$10.9K
    95937The provider performs neuromuscular junction testing by repetitive stimulation of a nerve supplying a muscle to diagnose a patient with a known or suspected disorder of the neuromuscular junction.390$30$10.1K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9592571030$150$30.9K
    G04536670730$30$26.3K
    9923311,31611,530120$100$26.2K
    9921412,97337,970120$90$23.2K
    958196023040$220$15.7K
    6461518722060$120$14.5K
    992156,46615,36050$130$14.4K
    957207110060$170$13.9K
    959135521030$240$13.1K
    9588617455070$80$12.5K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Metrohealth SystemOHGeneral Acute Care Hospital$0$574.3M
    WakemedNCGeneral Acute Care Hospital$0$140.8M
    The Metrohealth SystemOHMulti-Specialty Clinic/Center$0$125.4M
    Denver Health And Hospital AuthorityCOGeneral Practice Physician$0$95M
    Denver Health And Hospital AuthorityCOGeneral Acute Care Hospital$0$77.1M
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$68.5M
    Northbay Healthcare GroupCAGeneral Acute Care Hospital$0$64.9M
    Denver Health And Hospital AuthorityCOAmbulance$3.4M$46.3M
    Louisiana State University School Of Med In New Orleans Faculty GrouLAPediatrics Physician$0$43M

    Nearby Providers

    Other providers in the same ZIP code as David Valentine, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel KimCAHematology & Oncology Physician$1.8M$0
    Kelly Khai Li YapCAHematology & Oncology Physician$332.1K$0
    Mitchell LatterCAOphthalmology Physician$326.6K$0
    Edward BartonCANeurology Physician$260.1K$0
    Sean TsaiCAFamily Medicine Physician$102.1K$0
    Aaron LewisCASurgical Oncology Physician$86.7K$0
    Katharine Schulz-costelloCASurgery Physician$70.4K$0
    Thomas GernonCAOtolaryngology Physician$53.7K$0

    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. California Distribution
    David Valentine — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California