Physician
Roberto Villegas, JR., M.D. Pediatrics, P.A.
Roberto Villegas, JR., M.D. Pediatrics, P.A. was paid $2.38M by Medicaid between May 2018 and Dec 2024, across 61 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 21% of everything it billed.
33Billing provider infoROBERTO VILLEGAS, JR., M.D. PEDIATRICS, P.A.
LAREDO, TX 78045
LAREDO, TX 78045
33aNPI1093992877assigned 01/23/2008
33bProvider typePediatrics Physician
28Total paid$2.38M
24GClaims113,180
24DCodes billed61
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#200 of 1,136
Median peer was paid$329K
This provider vs. median7.2×
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 | 100 | $6K | |
| 2019 | 84 | $4K | |
| 2020 | 4,780 | $128K | |
| 2021 | 33,816 | $680K | |
| 2022 | 31,150 | $670K | |
| 2023 | 24,954 | $518K | |
| 2024incomplete | 18,296 | $372K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 6,743 | 6,146 | $493K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 5,411 | 5,271 | $410K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 7,695 | 7,103 | $265K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 25,207 | 9,276 | $251K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 2,600 | 2,479 | $204K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.9% | 2,454 | 2,361 | $139K |
| 99460 | 5.5% | 1,712 | 1,651 | $130K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.1% | 2,000 | 1,871 | $96K |
| 99464 | 3.2% | 901 | 863 | $75K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 699 | 656 | $57K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 513 | 491 | $51K |
| 90461 | 1.4% | 7,575 | 6,497 | $34K |
49 more codes
| 99462 | 1.4% | 911 | $33K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 4,322 | $33K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 503 | $24K |
| 97803 | <1% | 4,848 | $14K | |
| S8301 | Infection control supplies, not otherwise specified | <1% | 1,182 | $14K |
| 99468 | <1% | 12 | $10K | |
| 0072A | <1% | 189 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 261 | $6K |
| 0111A | <1% | 217 | $6K | |
| 0071A | <1% | 176 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 198 | $3K |
| 0112A | <1% | 66 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 28 | $2K |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 5,045 | $2K |
| 0001A | <1% | 66 | $2K | |
| 84030 | <1% | 608 | $2K | |
| 97802 | <1% | 244 | $2K | |
| 87807 | <1% | 151 | $2K | |
| 0003A | <1% | 31 | $1K | |
| 86580 | <1% | 100 | $645.97 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 50 | $625.05 |
| 0002A | <1% | 15 | $480.00 | |
| 0073A | <1% | 12 | $470.40 | |
| 92551 | <1% | 425 | $430.98 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 5,108 | $385.00 |
| 90671 | <1% | 1,690 | $216.22 | |
| CP001 | <1% | 17 | $166.60 | |
| 85018 | <1% | 122 | $0.14 | |
| 90686 | <1% | 1,330 | $0.03 | |
| 90651 | <1% | 259 | $0.01 | |
| 83655 | <1% | 372 | $0.01 | |
| 90723 | 0% | 2,571 | $0.00 | |
| 90680 | 0% | 3,433 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 610 | $0.00 |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 610 | $0.00 |
| 90696 | 0% | 221 | $0.00 | |
| 90697 | 0% | 1,034 | $0.00 | |
| 91307 | 0% | 475 | $0.00 | |
| 90656 | 0% | 122 | $0.00 | |
| 90670 | 0% | 3,157 | $0.00 | |
| 99173 | 0% | 611 | $0.00 | |
| 90648 | 0% | 3,703 | $0.00 | |
| 91300 | 0% | 143 | $0.00 | |
| 90710 | 0% | 1,488 | $0.00 | |
| 90633 | 0% | 1,779 | $0.00 | |
| 91311 | 0% | 328 | $0.00 | |
| 90700 | 0% | 678 | $0.00 | |
| 99072 | 0% | 135 | $0.00 | |
| 90734 | 0% | 14 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialVILLEGAS, ROBERTO (PRESIDENT)