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NPI 1316913999 · San Juan, PR · Physical Medicine & Rehabilitation Physician
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Nancy Alicea-valentin is a physical medicine & rehabilitation physician provider located in San Juan, Puerto Rico. This profile covers 9 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Nancy Alicea-valentin |
| Address | #400 Ave Roosevelt Suite 407 |
| City | San Juan |
| State | PR |
| ZIP | 00918 |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| NPI Enumerated | February 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.4M |
| Medicare | $27.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 110 | $70 | $7.7K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 280 | $20 | $6.4K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 270 | $20 | $4.6K |
| 97032 | Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and… | 280 | $10 | $2.5K |
| 97035 | Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions. | 270 | $10 | $2.5K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 20 | $80 | $1.6K |
| 20550 | Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation. | 20 | $40 | $840 |
| 20605 | In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may… | 20 | $40 | $740 |
| 97161 | The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's… | 20 | $40 | $560 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97032 | Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and… | 14,530 | $20 | $247K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 12,570 | $20 | $238.9K |
| 97035 | Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions. | 12,340 | $20 | $209.8K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 8,480 | $20 | $169.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,190 | $60 | $120.5K |
| 97124 | Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood… | 7,290 | $20 | $109.3K |
| 97161 | The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's… | 1,460 | $70 | $99.1K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 1,340 | $70 | $96.2K |
| 95886 | The 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… | 340 | $200 | $67.5K |
| 97164 | The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she… | 530 | $20 | $9.1K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 18 | 180 | 2,150 | $20 | $95.2K |
| 97032 | Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and… | 14 | 160 | 3,960 | $20 | $89.7K |
| 97124 | Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood… | 21 | 110 | 2,080 | $20 | $72.3K |
| 97035 | Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions. | 10 | 130 | 3,370 | $10 | $64.5K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 8 | 80 | 1,220 | $20 | $51K |
| 97161 | The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's… | 14 | 70 | 510 | $60 | $44.8K |
| 95886 | The 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… | 14 | 50 | 80 | $140 | $44.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 715 | 3,230 | 330 | $10 | $42.4K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 165 | 1,400 | 160 | $50 | $29.6K |
| 97799 | Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code. | 21 | 40 | 870 | $10 | $27.4K |
Showing 1–10 of 12
Other providers in the same ZIP code as Nancy Alicea-valentin, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Laboratorio De Patologia Dr Noy | PR | Anatomic Pathology Physician | $0 | $45.7M |
| Hato Rey Pathology Associates Inc | PR | Clinical Medical Laboratory | $58.5K | $42M |
| Home Orthopedics Corp | PR | Prosthetic/Orthotic Supplier | $0 | $20.7M |
| Orthobone, Inc | PR | Customized Equipment (DME) | $0 | $15.5M |
| Smith & Nephew Inc. | PR | Prosthetic/Orthotic Supplier | $0 | $12M |
| Laboratorio Clinico Noy Inc | PR | Clinical Medical Laboratory | $76.1K | $9.9M |
| Servicios Radiologicos Asociados Jorge Perez Brais | PR | Diagnostic Radiology Physician | $0 | $2.9M |
| Luis Torres Vera | PR | Allergy Physician | $21.5K | $2.7M |
| Inspira Psychiatric Services Psc | PR | Adult Mental Health Clinic/Center | $0 | $2.5M |
| Frankie Alvarado | PR | Pulmonary Disease Physician | $7.3K | $2.4M |
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