Physician

Jose Armando Guerra-Valencia, MD

According to 2025 Medicare claims, Jose Guerra-Valencia, MD (NPI: 1154673770) practices psychiatry in the Miami-Miami Beach-Kendall, FL market, with the plurality of this provider's patient population coming from Miami-Dade, FL. This provider's primary affiliated billing organization is ESTRELLA HEALTH MEDICAL CENTER INC (NPI: 1710576988; TIN: 853330324) and primary practice location at 33165-7098.

Guerra-Valencia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 127 traditional Medicare patients, billed 4,131 HCPCS/CPT codes, and received $798,655 in Medicare payments. The top billing code was 90867 (Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management). Part D data shows 617 prescription claims across 55 beneficiaries totaling $36,313 in drug costs, led by Fluphenazine Decanoate (Fluphenazine Decanoate). Open Payments data shows 1 records totaling $652,662. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $4,480 and ending at $798,655. Concurrently, Part D prescription costs have risen steadily, from $4,988 to $36,313. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$399K$799K2015 Medicare payment: $4,480 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $36,637 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $45,545 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $26,688 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $19,539 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $25,053 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $11,265 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,859 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $20,100 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $798,655 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154348$4,480
2016141448$36,637
2017157623$45,545
2018147360$26,688
2019147189$19,539
2020116299$25,053
202152159$11,265
20223765$2,859
202317154$20,100
20241274,131$798,655

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$23K$45K2015 Drug cost: $4,988 (USD; Tot_Drug_Cst)2016 Drug cost: $30,756 (USD; Tot_Drug_Cst)2017 Drug cost: $7,356 (USD; Tot_Drug_Cst)2018 Drug cost: $6,225 (USD; Tot_Drug_Cst)2019 Drug cost: $6,456 (USD; Tot_Drug_Cst)2020 Drug cost: $11,543 (USD; Tot_Drug_Cst)2021 Drug cost: $11,305 (USD; Tot_Drug_Cst)2022 Drug cost: $20,376 (USD; Tot_Drug_Cst)2023 Drug cost: $45,231 (USD; Tot_Drug_Cst)2024 Drug cost: $36,313 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201558235$4,988
2016901,048$30,756
201751551$7,356
201840445$6,225
201936414$6,456
202066826$11,543
202142574$11,305
202263435$20,376
202347595$45,231
202455617$36,313

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
90867Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management97103$253
90869Treatment using magnetic field to stimulate nerve cells in brain, subsequent motor threshold redetermination with delivery and management3939$230
90868Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management1143,629$170
90792Psychiatric diagnostic evaluation with medical services1717$160
90837Psychotherapy, 1 hour45267$124

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Fluphenazine DecanoateFluphenazine Decanoate23442$4,641
HaloperidolHaloperidol641,610$4,624
Fluphenazine HclFluphenazine Hcl541,274$3,462
AripiprazoleAripiprazole17443$3,111
PerphenazinePerphenazine24646$1,407

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.0$0N/R
Research PaymentsReported research-related payment or transfer-of-value amount.1$652,662E.R. Squibb & Sons, L.L.C.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Jose Armando Guerra-Valencia, MD?

Tedicare shows public-source Medicare data for Jose Armando Guerra-Valencia, MD (NPI 1154673770), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Jose Armando Guerra-Valencia, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Jose Armando Guerra-Valencia, MD?

Jose Armando Guerra-Valencia, MD is linked to ESTRELLA HEALTH MEDICAL CENTER INC (billing NPI 1710576988) in the available physician profile data.

Does Jose Armando Guerra-Valencia, MD have Open Payments data?

Jose Armando Guerra-Valencia, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.