Medicare Enrolled
Dr. Francisco Valles, M.D.
Student in an Organized Health Care Education/Training Program · Visalia, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Valles from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Valles?
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What this data tells you about Dr. Valles
Dr. Francisco Valles is a student in an organized health care education/training program specialist in Visalia, CA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Valles performed 3,265 Medicare services across 2,820 unique beneficiaries.
Between the years covered by Open Payments, Dr. Valles received a total of $9,509 from 17 pharmaceutical and/or device companies across 92 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Valles is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 13 years in practice
▲ Top 5% volume in CA
$9,509 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,265
Medicare services
Top 5% in CA for student in an organized health care education/training program
2,820
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~251 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Chest X-ray, 1 view An X-ray image of the chest taken from a single angle. This imaging test is used to visualize the structures within the chest cavity. |
1,128 | $7 | $24 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
272 | $7 | $29 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
235 | $30 | $175 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
159 | $62 | $225 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
112 | $6 | $24 |
| CT scan of chest blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest. |
82 | $66 | $270 |
| CT scan of upper spine, without contrast A CT scan uses X-rays to create detailed images of the upper spine. This procedure is performed without the use of contrast dye. |
57 | $30 | $207 |
| CT scan of head blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the head. |
51 | $59 | $219 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
51 | $50 | $225 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
51 | $25 | $100 |
| CT scan of neck blood vessels with contrast A computed tomography scan that uses dye to visualize the blood vessels in the neck. This imaging test helps examine the structure and flow within the neck's vascular system. |
49 | $57 | $275 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
49 | $7 | $23 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
49 | $6 | $31 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
46 | $28 | $100 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
45 | $41 | $249 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
44 | $6 | $32 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
43 | $6 | $38 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
42 | $8 | $30 |
| Insertion of tunneled central venous catheter for infusion, age 5+ A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older. |
37 | $195 | $730 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
37 | $16 | $85 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
35 | $6 | $30 |
| X-ray of lower leg, 2 views An X-ray imaging test of the lower leg using two different angles to visualize the bones and surrounding structures. |
30 | $6 | $29 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
30 | $6 | $32 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
28 | $56 | $215 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
27 | $1,198 | $3,690 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
27 | $8 | $37 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
26 | $39 | $207 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
26 | $58 | $200 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
26 | $16 | $59 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
26 | $11 | $36 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
24 | $6 | $31 |
| X-ray of thigh bone, minimum 2 views An X-ray imaging test of the thigh bone using at least two different angles to visualize the bone structure. |
24 | $6 | $24 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
24 | $20 | $86 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
24 | $28 | $194 |
| Abdominal X-ray, minimum 3 views An X-ray imaging test of the abdomen that captures at least three different views to visualize internal structures. |
23 | $9 | $35 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
20 | $151 | $464 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
19 | $42 | $135 |
| CT scan of abdominal aorta and leg arteries with contrast A CT scan that uses contrast dye to create detailed images of the abdominal aorta and the arteries in both legs. |
18 | $90 | $315 |
| Fluoroscopic guidance for central vein access device Use of live X-ray imaging to guide the placement or removal of a central vein access device. |
18 | $85 | $240 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
17 | $6 | $30 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
17 | $29 | $166 |
| Swallowing function imaging Imaging used to evaluate how well a person can swallow. This procedure visualizes the swallowing process to assess function. |
16 | $20 | $81 |
| Central venous port insertion A surgical procedure to place a small reservoir under the skin for long-term access to the bloodstream. The device is connected to a vein to allow for repeated medication administration or blood draws. |
15 | $247 | $925 |
| CT scan of leg, without contrast A computed tomography scan of the leg performed without the use of contrast dye. This imaging test uses X-rays to create detailed cross-sectional images of the leg's internal structures. |
14 | $38 | $207 |
| Replacement of tunneled central venous tube This procedure involves replacing an existing tunneled central venous catheter with a new one. The new tube is inserted through the same tunnel under the skin to maintain vascular access. |
13 | $127 | $650 |
| Abdominal fluid drainage with imaging guidance Removal of fluid from the abdominal cavity using imaging technology to guide the procedure. |
12 | $84 | $273 |
| X-ray of forearm, 2 views An X-ray imaging test of the forearm using two different angles to visualize the bones and surrounding structures. |
12 | $5 | $26 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
12 | $40 | $356 |
| Ultrasound of arm arteries or grafts An ultrasound exam of the arteries in one arm or any arterial grafts present. This imaging test uses sound waves to visualize blood flow and vessel structure. |
12 | $17 | $68 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
11 | $16 | $76 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.5% high complexity
35.6% medium
62.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,509
Total received (2018-2024)
Avg $1,358/year across 7 years
Top 4% in CA for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
17
Companies
92
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,005 (73.7%)
Other
Charitable contributions, space rental, and other categories
$2,212 (23.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$292 (3.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,688
2023
$1,935
2022
$3,377
2021
$736
2020
$20
2019
$1,461
2018
$292
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AngioDynamics, Inc.
$1,215
Inari Medical, Inc.
$266
Boston Scientific Corporation
$145
Terumo Medical Corporation
$25
Bard Peripheral Vascular, Inc.
$19
Medtronic, Inc.
$17
Top 3 companies account for 96.3% of 2024 payments
All-time payments by company (2018-2024) ›
Inari Medical, Inc.
$2,799
AngioDynamics, Inc.
$2,359
Medtronic, Inc.
$1,320
Medtronic Vascular, Inc.
$1,125
Boston Scientific Corporation
$858
ABIOMED
$260
AtriCure, Inc.
$147
Medtronic USA, Inc.
$142
Shockwave Medical, Inc
$140
Edwards Lifesciences Corporation
$119
Stryker Corporation
$102
Chiesi USA, Inc.
$38
Terumo Medical Corporation
$25
Tactile Systems Technology Inc
$20
CHIESI USA, INC.
$20
Bard Peripheral Vascular, Inc.
$19
ASAHI INTECC USA, INC.
$15
Top 3 companies account for 68.1% of all-time payments
Associated products mentioned in payments ›
ASAHI PTCA Guide Wire · ATRICURE SYNERGY ABLATION SYSTEM · AURYON LASER SYSTEM 100-120 VAC · AZUR CX DETACHABLE · CLEVIPREX · CLOSUREFAST · CT THROMBECTOMY SYSTEM KIT · EkoSonic · FLOWTRIEVER CATHETER · Flexitouch Plus · General - Embolics · HAWKONE · HawkOne · IN.PACT ADMIRAL · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Impella · KENGREAL · MVP · OSTEOCOOL RF ABLATION · S · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SMART PORT CT · SYNCHROMEDII · Smart Port CT · Solero · TRUSELECT · TheraSphere Y90 Glass Microspheres 10 GBq · VENACURE 1470 PRO · VENASEAL · Varithena Administration Pack · VenaCure 1470 Pro · Venovo
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (74%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for student in an organized health care education/training program in CA.
Geographic Context
Student in an organized health care education/training programs within 10 mi
404
Per 100K population
84.9
County median income
$69,489
Nearest hospital
KAWEAH HEALTH MEDICAL CENTER
6.2 mi
6.2 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Valles is a mixed practice specialist, with above-average Medicare volume (top 5% in CA), with low-engagement industry engagement in the top 4% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Valles experienced with chest x-ray, 1 view?
Based on Medicare claims data, Dr. Valles performed 1,128 chest x-ray, 1 view services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Valles receive payments from pharmaceutical companies?
Yes. Dr. Valles received a total of $9,509 from 17 companies across 92 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Valles's costs compare to other student in an organized health care education/training programs in Visalia?
Dr. Valles's average Medicare payment per service is $34. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Valles) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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