Physician

Herminigildo Villon Valle, MD

According to 2025 Medicare claims, Herminigildo Valle, MD (NPI: 1689758526) practices internal medicine in the San Francisco-San Mateo-Redwood City, CA market, with the plurality of this provider's patient population coming from San Francisco, CA. Valle uses personal NPI as billing NPI and primary practice location at 94015-2230.

Valle's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 319 traditional Medicare patients, billed 2,928 HCPCS/CPT codes, and received $379,200 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 6,779 prescription claims across 222 beneficiaries totaling $445,562 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). DME data shows 11 claims. Open Payments data shows 30 records totaling $785. 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 sharply higher in recent years, from $330,733 to $379,200. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $679,881 to $445,562. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $24,798 to $5,031.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	629	4,171	$330,733
2016	444	2,710	$201,364
2017	158	823	$67,498
2018	46	192	$12,785
2019	192	1,341	$104,856
2020	286	1,777	$146,647
2021	234	1,897	$161,768
2022	235	2,011	$164,329
2023	298	1,847	$172,220
2024	319	2,928	$379,200

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	542	8,377	$679,881
2016	380	7,411	$510,819
2017	273	5,397	$368,704
2018	152	1,747	$109,792
2019	124	768	$31,811
2020	177	1,445	$75,007
2021	192	3,289	$262,606
2022	205	3,896	$203,357
2023	216	4,066	$295,160
2024	222	6,779	$445,562

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	33	220	$16,359
2016	15	85	$1,731
2017	29	47	$839
2018	N/R	N/R	N/R
2019	N/R	106	$12,701
2020	N/R	25	$4,843
2021	N/R	11	$337
2022	N/R	12	$115
2023	N/R	11	$752
2024	N/R	11	$535

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	65	70	$159
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	116	596	$104
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	134	733	$91
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	115	399	$66
11042	Removal of skin and tissue, 20.0 sq cm or less	24	77	$54

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	56	377	$51,960
Tetrabenazine	Tetrabenazine	68	462	$42,454
Eliquis	Apixaban	130	1,874	$38,469
Januvia	Sitagliptin Phosphate	100	1,882	$35,609
Juluca	Dolutegravir/Rilpivirine	19	128	$15,578

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	11	$535

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	30	$785	MIMEDX Group, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Herminigildo Villon Valle, MD?

Tedicare shows public-source Medicare data for Herminigildo Villon Valle, MD (NPI 1689758526), 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 Herminigildo Villon Valle, 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 Herminigildo Villon Valle, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Herminigildo Villon Valle, MD have Open Payments data?

Herminigildo Villon Valle, MD has 30 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.