Physician
OIG excluded
Villanueva Valdes, Esther
Villanueva Valdes, Esther was paid $27K by Medicaid between Jan 2018 and Jun 2018, across 1 billing code. Its largest line is 99349, — 100% of everything it billed.
33Billing provider infoVILLANUEVA VALDES, ESTHER
ARECIBO, PR 00061
ARECIBO, PR 00061
33aNPI1457431231assigned 10/16/2006
33bProvider typeGeneral Practice Physician
28Total paid$27K
24GClaims300
24DCodes billed1
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#309 of 1,195
Median peer was paid$2K
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
OIG exclusionListed on the federal exclusion list (03/20/2022).
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 | 300 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 100% | 300 | 124 | $27K |
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.