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    OpenPayerNPI Medicare & MedicaidBetty Villafuerte
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    Betty Villafuerte — Billing Profile & Reimbursement Data

    NPI 1528047362 · Owensboro, KY · Endocrinology, Diabetes & Metabolism Physician

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    Betty Villafuerte is a endocrinology, diabetes & metabolism physician provider located in Owensboro, Kentucky. This profile covers 5 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBetty Villafuerte
    Address1000 Breckenridge St Ste 200
    CityOwensboro
    StateKY
    ZIP42303
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedJanuary 11, 2006

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

    Payer SourceTotal Paid
    Medicare$60.9K
    Medicaid$11.7K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…610$90$51.6K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…350$10$3.2K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…30$120$3.1K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…70$30$1.7K
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…390$1$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143937,230110$70$14.1K
    992041,8683,20030$100$4.8K
    95251459070$20$2.1K
    830363388050$10$1.2K
    8296258040$1$290

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…200$50$10.6K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…80$10$860
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…70$1$210

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,6572,460580$40$245K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…279350740$10$31.8K
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…103140440$1$9.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Medical AssociatesKYInternal Medicine Physician$0$17.3M
    Owensboro Health Medical Group, IncKYFamily Medicine Physician$0$10.6M
    Owensboro Health Medical Group, IncKYPediatrics Physician$0$7.4M
    Owensboro Health Medical Group, Inc.KYSpecialist$0$3.9M
    Owensboro Health Medical Group, Inc.KYFamily Medicine Physician$0$3M
    Kishor VoraKYCardiovascular Disease Physician$2M$334.5K
    Pradeep MohanTXPlastic and Reconstructive Surgery Physician$1.9M$0
    Roshan MathewKYInterventional Cardiology Physician$1M$0
    Azmi DrawKYPulmonary Disease Physician$823K$0
    Bernard BuchananKYInternal Medicine Physician$760.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Betty Villafuerte, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Owensboro Health IncKYGeneral Acute Care Hospital$0$148.8M
    Green River District Home HealthKYEarly Intervention Provider Agency$0$22.1M
    Wendell Foster's Campus For Developmental DisabilitiesKYComprehensive Outpatient Rehabilitation Facility (CORF)$0$19M
    Puzzle Pieces, Inc.KYCommunity/Behavioral Health Agency$0$13.2M
    Caretenders Vs Of Western Ky, LLCKYHome Health Agency$0$12.8M
    Truenorth Treatment Center, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$11.8M
    Community Alternatives Kentucky, Inc.KYCase Management Agency$0$9.5M
    Owensboro Pediatrics LLCKYPediatrics Physician$0$9.2M
    Green River District Health DeptKYHome Health Agency$0$7.2M
    Owensboro Ambulatory Surgical Facility LtdKYAmbulatory Surgical Clinic/Center$1.3M$4.8M

    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. Kentucky Distribution
    Betty Villafuerte — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Betty Villafuerte — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky