Physician
Villegas LLC
Villegas LLC was paid $1.35M by Medicaid between Apr 2019 and Dec 2024, across 29 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 25% of everything it billed.
33Billing provider infoVILLEGAS LLC
SAN JUAN, PR 00912
SAN JUAN, PR 00912
33aNPI1457710014assigned 02/11/2016
33bProvider typeOphthalmology Physician
28Total paid$1.35M
24GClaims24,734
24DCodes billed29
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#12 of 141
Median peer was paid$163K
This provider vs. median8.3×
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 | |
|---|---|---|---|
| 2019 | 486 | $5K | |
| 2020 | 3,169 | $59K | |
| 2021 | 5,918 | $139K | |
| 2022 | 3,345 | $180K | |
| 2023 | 3,965 | $333K | |
| 2024incomplete | 7,851 | $633K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 25% | 2,217 | 1,740 | $340K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 20% | 4,006 | 2,972 | $265K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 1,280 | 1,005 | $195K |
| 92134 | 10% | 4,277 | 3,204 | $137K | |
| 76512 | 8.4% | 1,105 | 566 | $113K | |
| 92202 | 5.6% | 2,666 | 2,157 | $75K | |
| C9257 | Injection, bevacizumab, 0.25 mg | 5.3% | 2,183 | 1,146 | $71K |
| 92250 | 4.7% | 980 | 787 | $64K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.0% | 129 | 117 | $54K |
| 92100 | 1.5% | 598 | 359 | $20K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 53 | 35 | $7K |
| 92002 | <1% | 100 | 70 | $6K |
17 more codes
| 92019 | <1% | 14 | $591.07 | |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | <1% | 99 | $342.22 |
| 92015 | Determination of refractive state | <1% | 19 | $186.30 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 770 | $0.00 |
| 1036F | 0% | 887 | $0.00 | |
| 4177F | 0% | 17 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 98 | $0.00 |
| J3490 | Unclassified drugs | 0% | 186 | $0.00 |
| 5010F | 0% | 98 | $0.00 | |
| 4040F | 0% | 582 | $0.00 | |
| 2024F | 0% | 253 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 573 | $0.00 |
| 2021F | 0% | 98 | $0.00 | |
| 2022F | 0% | 253 | $0.00 | |
| 2026F | 0% | 253 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 871 | $0.00 |
| 0517F | 0% | 69 | $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 officialVILLEGAS CEIDE, VICTOR (PRESIDENT)