Villegas-Garcia, Juan-Fernando

Villegas-Garcia, Juan-Fernando was paid $477K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 92% of everything it billed.

33Billing provider infoVILLEGAS-GARCIA, JUAN-FERNANDO
CHICAGO, IL 60608

33aNPI1164667424assigned 12/15/2008

33bProvider typeInternal Medicine Physician

28Total paid$477K

24GClaims5,419

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#132 of 3,722

Median peer was paid$26K

This provider vs. median19×

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	536	$15K
2019	1,449	$79K
2020	1,025	$90K
2021	565	$67K
2022	766	$95K
2023	822	$99K
2024incomplete	256	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	92%	3,776	1,296	$441K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.5%	909	462	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.8%	455	385	$14K
94003		<1%	175	64	$3K
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	<1%	29	29	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	31	28	$577.94
94004		<1%	29	12	$538.34
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	15	13	$372.45

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.