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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicolas Villa Guillen
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    Nicolas Villa Guillen — Billing Profile & Reimbursement Data

    NPI 1265696553 · Spokane, WA · Gastroenterology Physician

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    Nicolas Villa Guillen is a gastroenterology physician provider located in Spokane, Washington. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicolas Villa Guillen
    Address910 W 5th Ave Ste 501
    CitySpokane
    StateWA
    ZIP99204
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 15, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$174.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…310$200$61.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.260$50$14.1K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…110$110$11.6K
    91110The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service.20$630$11.3K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…30$400$11.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…150$60$8.6K
    43277Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$300$7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk30$180$5.9K
    43242The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…30$190$5.8K
    43259An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…30$170$5.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851838070$290$31K
    453804437060$190$16.4K
    45390192020$550$14.9K
    992148,48410,860100$80$13.6K
    43274163030$320$11.3K
    G01056822030$280$10.2K
    432391537060$120$9.3K
    43248711030$180$7K
    43251132020$310$6.5K
    9111063010$380$6K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Nicolas Villa Guillen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Multicare Health SystemWAGeneral Acute Care Hospital$0$162.2M
    Multicare Health SystemWAChildren's Hospital$0$108.4M
    Multicare Health SystemWAGeneral Acute Care Hospital$0$77.8M
    Multicare Health SystemWAFamily Medicine Physician$0$75M
    Multicare Health SystemWAGeneral Acute Care Hospital$0$55.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Multicare Health SystemWACommunity/Behavioral Health Agency$0$48.2M
    Multicare Health SystemWAInternal Medicine Physician$0$46.6M
    Multicare Health SystemWAGeneral Acute Care Hospital$0$30.9M
    Multicare Health SystemWAPediatrics Physician$0$29.4M

    Nearby Providers

    Other providers in the same ZIP code as Nicolas Villa Guillen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Health & Services - WaWAGeneral Acute Care Hospital$0$78.7M
    Providence Health & Services WashingtonWAPulmonary Disease Physician$0$78.6M
    New Horizon Care Center, Inc.WASubstance Abuse Rehabilitation Facility$0$20.2M
    Spokane Addiction Recovery CentersWASubstance Abuse Rehabilitation Facility$0$19M
    Spokane Emergency Care Physicians PLLCWAEmergency Medicine Physician$0$13.9M
    Spokane Emergency Physicians, PsWAEmergency Medicine Physician$0$13.1M
    Providence Health & Services WashingtonWAClinical Medical Laboratory$1.6M$9.3M
    Spokane Eye Clinic PsWAMulti-Specialty Clinic/Center$0$8M
    Laboratory Corporation Of AmericaWAClinical Medical Laboratory$1.6M$6.1M
    Integra Imaging, PsWADiagnostic Radiology Physician$0$7.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Nicolas Villa Guillen — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington