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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSheila Colon Villarrubia
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    Sheila Colon Villarrubia — Billing Profile & Reimbursement Data

    NPI 1376796748 · Ponce, PR · Public Health & General Preventive Medicine Physician

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    Sheila Colon Villarrubia is a public health & general preventive medicine physician provider located in Ponce, Puerto Rico. This profile covers 0 Medicare and 15 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
    OrganizationSheila Colon Villarrubia
    Address3423 Calle Laffitte
    CityPonce
    StatePR
    ZIP00728
    TaxonomyPublic Health & General Preventive Medicine Physician
    NPI EnumeratedOctober 29, 2008

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99234The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…4,540$100$435.6K
    99219N/A2,850$80$222.5K
    99235The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…1,130$120$136.4K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.2,620$50$117.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…5,900$20$94.4K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.1,630$50$74.8K
    76140The provider reviews an X–ray image that was performed at another site and provides a written consultation report.3,080$20$67.7K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.630$50$33.2K
    99236The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…130$160$21K
    99218N/A380$40$15.3K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Puerto Rico median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99235The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…31160310$120$81.8K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.98340210$70$81.7K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.54500220$40$79.5K
    99234The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…6220320$80$66.7K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.17180170$80$55.3K
    99236The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…359090$150$50.7K
    99219N/A490150$70$36.4K
    99218N/A43120180$50$26.2K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.5110180$40$15.7K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.361510210$10$7.8K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neomed Center, IncPRFederally Qualified Health Center (FQHC)$0$2.7M
    Neomed Center, Inc.PREmergency Care Clinic/Center$0$1.8M
    Neomed Center, IncPRClinical Medical Laboratory$0$1.7M
    Zoraida Estela JovePRDiagnostic Radiology Physician$18.1K$255.1K
    Rodolfo TrochePRNephrology Physician$46.5K$0
    Carlos Mendez-busoPRDiagnostic Radiology Physician$19.7K$0
    Ricardo De Jesus GomezPRDiagnostic Radiology Physician$19.6K$0
    Pedro Diaz OrtizPRNeuroradiology Physician$13.7K$0
    Monica Hernandez-pastranaPRGeneral Practice Physician$0$0

    Nearby Providers

    Other providers in the same ZIP code as Sheila Colon Villarrubia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alivia Infusion Services LLCPRHome Infusion Therapy Pharmacy$0$10.9M
    Lubilu Therapy Group, LLCPRSpeech-Language Pathologist$0$9.2M
    Laboratorio La Providencia De PoncePRClinical Medical Laboratory$16.4K$1.7M
    S & R Laboratorio Clinico CorpPRClinical Medical Laboratory$1.7K$846.2K
    Miguel Echevarria RodriguezPRDiagnostic Radiology Physician$0$820.6K
    Sergio Collazo SrPRLand Ambulance$12.8K$753.9K
    Laboratorio Clinico El Tuque, IncPRClinical Medical Laboratory$1.4K$696.7K
    Jesus Rodriguez RodriguezPRGeneral Practice Physician$6.6K$224.2K
    Walgreen CoPRPharmacy$60.7K$0
    Luis Rodriguez HernandezPRInternal Medicine Physician$14.9K$8.3K

    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.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Sheila Colon Villarrubia — 5 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico