Physician
Anthony L. Villanueva,m.D., INC.
Anthony L. Villanueva,m.D., INC. was paid $49K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoANTHONY L. VILLANUEVA,M.D., INC.
DALY CITY, CA 94015
DALY CITY, CA 94015
33aNPI1487617361assigned 04/10/2006
33bProvider typeOphthalmology Physician
28Total paid$49K
24GClaims1,699
24DCodes billed5
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#348 of 759
Median peer was paid$35K
This provider vs. median1.4×
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 | 1,093 | $31K | |
| 2019 | 606 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 40% | 682 | 682 | $20K |
| 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 | 31% | 248 | 248 | $15K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 19% | 507 | 465 | $9K |
| 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 | 8.7% | 163 | 161 | $4K |
| 92015 | Determination of refractive state | 1.4% | 99 | 97 | $715.81 |
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 officialVILLANUEVA, ANTHONY (PRESIDENT)