Villanueva, Heidi
Villanueva, Heidi was paid $315K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 92002, — 45% of everything it billed.
33Billing provider infoVILLANUEVA, HEIDI
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1073679031assigned 12/27/2006
33bProvider typeOptometrist
28Total paid$315K
24GClaims8,560
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#32 of 299
Median peer was paid$40K
This provider vs. median7.9×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,731 | $35K | |
| 2019 | 55 | $852.70 | |
| 2020 | 764 | $30K | |
| 2021 | 834 | $30K | |
| 2022 | 710 | $27K | |
| 2023 | 1,251 | $47K | |
| 2024incomplete | 3,215 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 45% | 2,791 | 1,958 | $142K | |
| 92015 | Determination of refractive state | 25% | 4,237 | 3,000 | $79K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 21% | 1,214 | 840 | $67K |
| V2020 | Frames, purchases | 8.3% | 299 | 242 | $26K |
| 92250 | <1% | 19 | 12 | $604.75 |
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.