Rafael Villalobos MD PA

Rafael Villalobos MD PA was paid $4.59M by Medicaid between Dec 2018 and Dec 2024, across 17 billing codes. Its largest line is 95816, — 38% of everything it billed.

33Billing provider infoRAFAEL VILLALOBOS MD PA
BROWNSVILLE, TX 78526

33aNPI1386731073assigned 10/06/2006

33bProvider typePediatric Neurodevelopmental Disabilities Physician

28Total paid$4.59M

24GClaims47,619

24DCodes billed17

24AFirst – last monthDec 2018 – Dec 2024

Compared with peers

Next to other Pediatric Neurodevelopmental Disabilities Physician providers in Texas

Rank by total paid#2 of 7

Median peer was paid$25K

This provider vs. median187×

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	64	$3K
2020	1,927	$140K
2021	12,520	$1.04M
2022	11,207	$1.12M
2023	10,685	$1.10M
2024incomplete	11,216	$1.19M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95816		38%	6,119	6,001	$1.77M
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	32%	27,554	26,756	$1.49M
99244	Office or other outpatient consultation, moderate to high complexity	14%	4,820	4,703	$640K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.4%	2,429	2,267	$204K
92652		3.6%	1,684	1,650	$166K
99243		1.7%	948	933	$77K
95713		1.5%	103	103	$69K
95700		<1%	185	183	$41K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	2,488	2,441	$38K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	560	544	$21K
92651		<1%	272	260	$19K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	36	36	$18K

5 more codes

99255		<1%	93	$16K
95718		<1%	116	$14K
92585		<1%	64	$7K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	89	$6K
99354		<1%	59	$2K

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 officialVILLALOBOS, RAFAEL (OWNER)