Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Villegas Fiol, Irelis

Villegas Fiol, Irelis was paid $201K by Medicaid between Jun 2021 and Dec 2024, across 9 billing codes. Its largest line is 99235, — 44% of everything it billed.

33Billing provider infoVILLEGAS FIOL, IRELIS
CAROLINA, PR 00987
33aNPI1053917807assigned 12/08/2020
28Total paid$201K
24GClaims2,624
24DCodes billed9
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#114 of 1,195
Median peer was paid$2K
This provider vs. median98×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2021235$15K
2022472$37K
20231,266$91K
2024incomplete651$58K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99235 44% 794 687 $88K
99234 38% 858 769 $76K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 229 209 $22K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 3.7% 80 73 $7K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 36 28 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 246 215 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 210 169 $2K
76140 <1% 147 129 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 24 24 $183.33

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.