Physician
Vicente T Falgui MD PC
Vicente T Falgui MD PC was paid $262K by Medicaid between Jul 2020 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoVICENTE T FALGUI MD PC
DANVILLE, VT 24541
DANVILLE, VT 24541
33aNPI1790291078assigned 12/21/2017
33bProvider typeInternal Medicine Physician
28Total paid$262K
24GClaims15,603
24DCodes billed22
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Vermont
Rank by total paid#4 of 25
Median peer was paid$10K
This provider vs. median28×
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 | |
|---|---|---|---|
| 2020 | 2,447 | $22K | |
| 2021 | 3,685 | $50K | |
| 2022 | 3,985 | $66K | |
| 2023 | 4,258 | $88K | |
| 2024incomplete | 1,228 | $36K |
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 | 77% | 5,066 | 3,901 | $203K |
| 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 | 7.0% | 271 | 240 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 6.7% | 2,393 | 1,971 | $18K |
| 82947 | 1.8% | 2,482 | 1,937 | $5K | |
| 99497 | 1.8% | 168 | 153 | $5K | |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 2,041 | 1,722 | $3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 36 | 33 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,482 | 1,297 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | 25 | $2K |
| 90688 | <1% | 100 | 76 | $818.65 | |
| 99307 | <1% | 177 | 151 | $727.49 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 204 | 185 | $664.52 |
10 more codes
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 86 | $593.40 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 49 | $577.53 |
| 96127 | <1% | 151 | $558.87 | |
| 81002 | <1% | 228 | $411.31 | |
| 99000 | <1% | 434 | $351.58 | |
| G0008 | Administration of influenza virus vaccine | <1% | 102 | $330.17 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 36 | $250.93 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 38 | $95.74 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 12 | $49.76 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 22 | $25.00 |
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 officialFALGUI MD PC, VICENTE (OWNER)