Physician
Villanueva, Hector
Villanueva, Hector was paid $574.57 by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 96160, — 66% of everything it billed.
33Billing provider infoVILLANUEVA, HECTOR
AGUADILLA, PR 00603
AGUADILLA, PR 00603
33aNPI1861471617assigned 01/11/2006
33bProvider typePediatrics Physician
28Total paid$574.57
24GClaims2,339
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#142 of 194
Median peer was paid$7K
This provider vs. median0.1×
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 | 584 | $0.00 | |
| 2019 | 324 | $25.00 | |
| 2020 | 99 | $0.00 | |
| 2021 | 357 | $69.00 | |
| 2022 | 416 | $100.57 | |
| 2023 | 385 | $80.00 | |
| 2024incomplete | 174 | $300.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 66% | 30 | 26 | $380.00 | |
| 99443 | 30% | 392 | 297 | $169.57 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 481 | 359 | $25.00 |
| 99401 | 0% | 17 | 15 | $0.00 | |
| 4035F | 0% | 37 | 37 | $0.00 | |
| 99411 | 0% | 115 | 104 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 24 | 18 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 17 | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 12 | 12 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 897 | 683 | $0.00 |
| 99402 | 0% | 168 | 141 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 110 | 102 | $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.