Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Villafane, Juan

Villafane, Juan was paid $606K by Medicaid between Jan 2018 and Nov 2018, across 14 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 26% of everything it billed.

33Billing provider infoVILLAFANE, JUAN
LOUISVILLE, KY 40202
33aNPI1538201744assigned 02/13/2007
28Total paid$606K
24GClaims8,375
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Pediatric Cardiology Physician providers in Kentucky

Rank by total paid#3 of 11
Median peer was paid$4K
This provider vs. median136×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20188,375$606K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 26% 959 867 $157K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 17% 476 443 $106K
99243 12% 836 773 $74K
93325 12% 952 862 $71K
93320 10% 949 858 $63K
93000 6.7% 1,978 1,792 $41K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.2% 900 820 $37K
93224 4.1% 185 173 $25K
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 2.5% 268 234 $15K
93784 1.1% 117 110 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 481 434 $4K
93270 <1% 92 85 $3K
2 more codes
93272 <1% 93 $2K
93040 <1% 89 $631.04

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.