Physician
Zephyrene C Villaluz MD CHTD
Zephyrene C Villaluz MD CHTD was paid $235K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
33Billing provider infoZEPHYRENE C VILLALUZ MD CHTD
N LAS VEGAS, NV 89030
N LAS VEGAS, NV 89030
33aNPI1356415616assigned 11/20/2006
33bProvider typeFamily Medicine Physician
28Total paid$235K
24GClaims6,162
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Nevada
Rank by total paid#65 of 388
Median peer was paid$27K
This provider vs. median8.8×
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 | 1,222 | $14K | |
| 2019 | 1,322 | $48K | |
| 2020 | 1,184 | $38K | |
| 2021 | 740 | $34K | |
| 2022 | 641 | $28K | |
| 2023 | 619 | $41K | |
| 2024incomplete | 434 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 69% | 3,974 | 3,814 | $163K |
| 99222 | Initial hospital care, per day, moderate complexity | 18% | 903 | 861 | $42K |
| 99254 | 6.8% | 104 | 95 | $16K | |
| 99252 | 1.6% | 53 | 49 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.6% | 522 | 169 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 193 | 180 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 62 | 52 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 151 | 148 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22 | 21 | $727.24 |
| 99221 | <1% | 12 | 12 | $244.80 | |
| 3046F | 0% | 65 | 62 | $0.00 | |
| 1111F | 0% | 16 | 16 | $0.00 |
1 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 85 | $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 officialVILLALUZ, ZEPHYRENE (PRESIDENT OWNER)