Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Edward Villaflor (NPI 1316034242)

Field	Value
Entity Type	Individual
Organization	Edward Villaflor
Address	4440 W 95th St
City	Oak Lawn
State	IL
ZIP	60453
Taxonomy	Anesthesiology Physician
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicare	$20.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00567	The provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure. The procedure requires a pump oxygenator to take on the work of the heart and lungs.	20	$730	$13.9K
00560	The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…	10	$450	$5.8K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$40	$460
93313	In this procedure, the provider places a transesophageal probe in preparation for performing transesophageal echocardiography (TEE) to obtain a two–dimensional (2D) image for visualization of the…	30	$10	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Edward Villaflor — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00567	7	40	10	$630	$10K
00560	63	90	20	$380	$6.8K
36620	439	540	20	$40	$880
93313	3	10	20	$10	$210

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neil Mehta	IL	Radiation Oncology Physician	$483K	$0
Dragan Gastevski	IL	Anesthesiology Physician	$141.8K	$0
Aseem Kumar	WI	Anesthesiology Physician	$76.8K	$0
Edmund Mangahas	IL	Anesthesiology Physician	$13.2K	$50.9K
Nabil Othman	CA	Anesthesiology Physician	$39.7K	$7.6K
Kiran Bhoopal	MI	Pediatric Anesthesiology Physician	$23.1K	$20.7K
Maurice Davis	MI	Anesthesiology Physician	$35.8K	$2.4K
Rachel Betke	IL	Certified Registered Nurse Anesthetist	$28.2K	$0
David Rudnick	IL	Anesthesiology Physician	$20.1K	$0
Darlene Recker	FL	Anesthesiology Physician	$20K	$0

Edward Villaflor — Billing Profile & Reimbursement Data

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Edward Villaflor — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References