GUSTAVO VILLEGAS, M.D.
Urology Physician · EDINBURG, TX
Individual Active NPI 1710207378
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 308 | 694 | $324,066 | $68,399 | $51,646 |
| 2023 | 265 | 675 | $357,590 | $65,560 | $49,847 |
| 2022 | 302 | 785 | $360,875 | $72,962 | $54,341 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 220 | $98 | $73 |
| 51702 | Simple insertion of temporary bladder tube | 57 | $25 | $18 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 56 | $81 | $58 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 45 | $135 | $100 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 45 | $67 | $49 |
| 51705 | Simple change of bladder tube | 38 | $52 | $41 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 35 | $127 | $91 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 17 | $17 | $14 |
| 76872 | Ultrasound scan of pelvic region through rectum | 12 | $33 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | Q5296 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.