Villanueva, Ethel

Villanueva, Ethel was paid $46K by Medicaid between Jan 2018 and Feb 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoVILLANUEVA, ETHEL
STERLING HEIGHTS, MI 48310

33aNPI1932118353assigned 08/05/2006

33bProvider typePediatrics Physician

28Total paid$46K

24GClaims1,007

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Pediatrics Physician providers in Michigan

Rank by total paid#249 of 349

Median peer was paid$321K

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	323	$13K
2019	186	$8K
2020	95	$4K
2021	126	$5K
2022	201	$11K
2023	53	$4K
2024incomplete	23	$2K

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	76%	569	505	$35K
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	15%	92	84	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.8%	198	192	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.2%	18	18	$1K
90472	Immunization administration, each additional vaccine (list separately)	1.6%	26	26	$727.30
81002		<1%	16	16	$43.66
97802		<1%	48	47	$5.00
90656		0%	40	38	$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.