Villagra, Jose

Villagra, Jose was paid $187K by Medicaid between Jan 2018 and Dec 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoVILLAGRA, JOSE
WHEATON, MD 20902

33aNPI1528139771assigned 11/10/2006

33bProvider typePediatrics Physician

28Total paid$187K

24GClaims5,134

24DCodes billed11

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Pediatrics Physician providers in Maryland

Rank by total paid#156 of 306

Median peer was paid$206K

This provider vs. median0.9×

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	363	$10K
2019	551	$16K
2020	1,249	$40K
2021	1,101	$43K
2022	955	$39K
2023	915	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	52%	1,268	994	$97K
D1206	Topical application of fluoride varnish	18%	1,341	1,336	$33K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	16%	360	317	$30K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.1%	1,488	1,292	$11K
99381		3.4%	67	63	$6K
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	3.0%	58	43	$6K
90686		1.4%	126	118	$3K
96161		<1%	171	151	$396.11
92551		<1%	45	37	$369.36
36415	Collection of venous blood by venipuncture	<1%	162	142	$308.31
99173		<1%	48	39	$104.00

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.