Medicare Enrolled
Dr. Enrique Garcia-Valenzuela, MD
Ophthalmology · Des Plaines, IL
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. Garcia-Valenzuela 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 →
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What this data tells you about Dr. Garcia-Valenzuela
Dr. Enrique Garcia-Valenzuela is an ophthalmology specialist in Des Plaines, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Garcia-Valenzuela performed 24,465 Medicare services across 6,476 unique beneficiaries.
Between the years covered by Open Payments, Dr. Garcia-Valenzuela received a total of $1,877 from 19 pharmaceutical and/or device companies across 60 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Garcia-Valenzuela 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.
✓ 20 years in practice
▲ Top 4% volume in IL
$1,877 industry payments
Medicare Practice Summary
Medicare Utilization ↗24,465
Medicare services
Top 4% in IL for ophthalmology
6,476
Unique beneficiaries
$89
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,223 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 |
|---|---|---|---|
| Eye injection (Vabysmo/faricimab) An injection of faricimab-svoa, a medication administered in 0.1 mg doses. |
9,660 | $29 | $37 |
| Comprehensive eye exam, established patient A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider. |
3,038 | $96 | $132 |
| Retinal imaging (OCT scan) This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye. |
2,904 | $31 | $44 |
| Extended eye exam with retinal drawing A detailed examination of the back of the eye that includes creating a drawing of the retina. |
1,673 | $19 | $26 |
| Eye injection for retinal disease A procedure involving the administration of medication directly into the eye. |
1,350 | $107 | $156 |
| Aflibercept eye injection (Eylea) | 1,172 | $688 | $883 |
| Bevacizumab injection, 10 mg Administration of a 10 mg dose of bevacizumab medication via injection. |
887 | $53 | $73 |
| Extended exam of back of eye with optic nerve drawing A detailed examination of the posterior section of the eye, including the optic nerve, with documentation through drawing. |
718 | $13 | $16 |
| Dexamethasone intravitreal implant injection An injection of a dexamethasone implant placed inside the eye. This procedure delivers medication directly into the vitreous cavity of the eye. |
679 | $158 | $204 |
| Retinal angiography with dye injection This procedure uses a special camera to examine the blood vessels in the retina after a dye has been injected into the body. |
541 | $109 | $145 |
| Ultrasound of eye tissue and structures A diagnostic imaging test that uses sound waves to create pictures of the eye's internal tissues and structures. |
448 | $38 | $54 |
| Retinal photography (fundus photo) This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures. |
355 | $29 | $39 |
| Retinal laser destruction of growth A laser procedure used to destroy abnormal growths in the retina. |
264 | $424 | $556 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
142 | $131 | $181 |
| Retinal laser treatment for leaking blood vessels This procedure uses a laser to seal leaking blood vessels in the retina. It is performed to prevent vision loss caused by fluid leakage from damaged retinal vessels. |
135 | $273 | $433 |
| Retinal photocoagulation to prevent detachment This procedure uses laser light to create small burns on the retina. It is performed to help prevent the retina from detaching from the back of the eye. |
100 | $197 | $303 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
96 | $1 | $1 |
| Ultrasound of eye tissue and structures A non-invasive imaging test that uses sound waves to create pictures of the eye's internal tissues and structures. |
86 | $54 | $72 |
| New patient office visit, complex (60-74 min) | 38 | $172 | $245 |
| Complex detached retina repair with eye fluid drainage A surgical procedure to repair a detached retina and drain fluid located between the lens and the retina. |
33 | $1,053 | $1,496 |
| Retinal photocoagulation for vascular growth This procedure uses laser light to destroy abnormal blood vessels located between the retina and the sclera. |
31 | $437 | $558 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
21 | $143 | $191 |
| Laser release of scar tissue between lens and retina A laser procedure used to remove scar tissue located between the lens and the retina of the eye. |
20 | $321 | $410 |
| Laser removal of recurring cataract A laser procedure to remove a recurring cataract within the lens capsule. |
16 | $275 | $351 |
| Injection into eye membrane A procedure involving the injection of a drug or substance into the membrane that covers the eyeball. |
16 | $42 | $55 |
| Laser repair of detached retina A procedure that uses a laser to seal and reattach a detached retina to the back of the eye. |
15 | $236 | $312 |
| Removal of scar tissue in eye (posterior synechiae) This procedure involves the removal of scar tissue that has formed between the iris and the lens in the eye. It is performed to address posterior synechiae, which are adhesions that can affect vision. |
14 | $269 | $666 |
| Retinal membrane and internal limiting membrane removal A surgical procedure to remove a membrane from the retina along with the internal limiting membrane of the retina. |
13 | $932 | $1,199 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$1,877
Total received (2018-2024)
Avg $313/year across 6 years
Top 43% in IL for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
60
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
$1,769 (94.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$108 (5.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$441
2023
$374
2022
$116
2021
$61
2019
$431
2018
$455
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Regeneron Healthcare Solutions, Inc.
$134
ABBVIE INC.
$102
Apellis Pharmaceuticals, Inc.
$72
Genentech USA, Inc.
$49
Astellas Pharma US Inc
$44
Alimera Sciences, Inc.
$22
Cook Medical LLC
$19
Top 3 companies account for 69.7% of 2024 payments
All-time payments by company (2018-2024) ›
Regeneron Healthcare Solutions, Inc.
$611
ABBVIE INC.
$222
Genentech USA, Inc.
$194
Allergan Inc.
$166
Dutch Ophthalmic, USA
$148
Novartis Pharmaceuticals Corporation
$123
Apellis Pharmaceuticals, Inc.
$116
Astellas Pharma US Inc
$44
Alimera Sciences, Inc.
$39
Vyera Pharmaceuticals, LLC
$31
Bausch & Lomb, a division of Bausch Health US, LLC
$30
Allergan, Inc.
$27
Carl Zeiss Meditec, Inc.
$21
VYERA PHARMACEUTICALS, LLC
$19
Cook Medical LLC
$19
Coherus Biosciences Inc.
$18
Bausch & Lomb Americas Inc.
$17
Mallinckrodt Hospital Products Inc.
$17
EyePoint Pharmaceuticals US, Inc.
$16
Top 3 companies account for 54.7% of all-time payments
Associated products mentioned in payments ›
ACTHAR · BEOVU · CIRRUS HD-OCT · Cimerli · DEXYCU · Daraprim · Daraprim 30 Tablet in 1 Bottle · Daraprim Tablet 25mg · EVA Ophthalmic Surgical System · EYLEA · EYLEA AFLIBERCEPT INJECTION · EYLEA HD · Izervay · Lucentis · OZURDEX · Syfovre · VISUDYNE · Vabysmo · XIPERE · YUTIQ · ZILVER PTX
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Ophthalmologists within 10 mi
598
Per 100K population
11.5
County median income
$81,797
Nearest hospital
CHICAGO BEHAVIORAL HOSPITAL
0.0 mi
0.0 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. Garcia-Valenzuela is a mixed practice specialist, with above-average Medicare volume (top 4% in IL), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Garcia-Valenzuela experienced with eye injection (vabysmo/faricimab)?
Based on Medicare claims data, Dr. Garcia-Valenzuela performed 9,660 eye injection (vabysmo/faricimab) 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. Garcia-Valenzuela receive payments from pharmaceutical companies?
Yes. Dr. Garcia-Valenzuela received a total of $1,877 from 19 companies across 60 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. Garcia-Valenzuela's costs compare to other ophthalmologists in Des Plaines?
Dr. Garcia-Valenzuela's average Medicare payment per service is $89. 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. Garcia-Valenzuela) 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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