Villa, Eduardo

Villa, Eduardo was paid $142K by Medicaid between Feb 2018 and Jul 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 57% of everything it billed.

33Billing provider infoVILLA, EDUARDO
CHICAGO, IL 60625

33aNPI1447347802assigned 10/06/2006

33bProvider typeGastroenterology Physician

28Total paid$142K

24GClaims1,410

24DCodes billed10

24AFirst – last monthFeb 2018 – Jul 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#54 of 370

Median peer was paid$16K

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	126	$877.36
2019	295	$12K
2020	229	$15K
2021	212	$22K
2022	228	$38K
2023	195	$34K
2024incomplete	125	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	57%	504	469	$81K
99244	Office or other outpatient consultation, moderate to high complexity	14%	134	124	$20K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	9.1%	54	51	$13K
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	5.9%	315	277	$8K
99243		5.1%	77	76	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.7%	207	182	$5K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.4%	67	58	$3K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	1.6%	13	13	$2K
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%	27	27	$850.89
99152		<1%	12	12	$65.73

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.