Villarrubia, Hector

Villarrubia, Hector was paid $214K by Medicaid between Feb 2018 and Feb 2024, across 10 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 69% of everything it billed.

33Billing provider infoVILLARRUBIA, HECTOR
BAYAMON, PR 00961

33aNPI1811068497assigned 11/13/2006

33bProvider typeOphthalmology Physician

28Total paid$214K

24GClaims3,146

24DCodes billed10

24AFirst – last monthFeb 2018 – Feb 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#61 of 141

Median peer was paid$163K

This provider vs. median1.3×

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
2018	580	$40K
2019	945	$59K
2020	286	$21K
2021	742	$45K
2022	282	$20K
2023	271	$26K
2024incomplete	40	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	69%	1,801	1,656	$148K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	30%	511	467	$64K
92015	Determination of refractive state	<1%	37	25	$1K
92225		<1%	113	56	$299.42
76514		<1%	227	225	$93.70
92020		<1%	32	32	$80.64
92145		0%	52	51	$0.00
92202		0%	147	143	$0.00
92201		0%	13	13	$0.00
92226		0%	213	93	$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.