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VALENCIA, RAFAELM.D. NPI 1366494247 Clinician

Interventional Cardiology · LAS VEGAS, NV

Specialty Interventional Cardiology — from billed Medicare claims
Trained JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY — medical school, self-reported to CMS
In practice about 27 years since medical school (class of 1999, self-reported to CMS)
Location LAS VEGAS, NV · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 39 codes billed · 28,534 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
NEVADA HEART AND VASCULAR CENTER RESH LLP
2019–2026
SEVEN HILLS CATH LAB
2021

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2013-05

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
J2785 Injection, regadenoson, 0.1 mg
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
78434 Nuclear medicine study of heart muscle blood flow by pet
78492 Nuclear medicine studies of blood flow in heart muscle at rest and with stress
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
78431 Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
75574 Ct scan of blood vessels and grafts of heart with contrast
92978 Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist
75571 Ct scan of heart with evaluation of blood vessel calcium
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel
75635 Ct scan of abdominal aorta and both leg arteries with contrast
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow
71275 Ct scan of blood vessels of chest with contrast
76775 Limited ultrasound scan behind abdominal cavity
93308 Ultrasound of heart, follow-up
99284 Emergency department visit with moderate level of medical decision making

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.