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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

James Villareal (NPI 1588684062)

Field	Value
Entity Type	Individual
Organization	James Villareal
Address	Corner Of Route N12 And N7
City	Fort Defiance
State	AZ
ZIP	86504
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicare	$32.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The 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.	160	$130	$20.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30	$170	$5.1K
99284	The 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.	30	$80	$2.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$130	$2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	170	$10	$1000
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	120	$10	$590
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	10	$20	$190

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

James Villareal — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	343	1,170	90	$130	$17.6K
99291	789	1,210	40	$160	$12.9K
99223	2,438	2,770	50	$130	$11K
99284	864	1,210	50	$90	$6.3K
93308	169	180	30	$20	$1.2K
93010	194	830	70	$10	$1K
93042	3	30	20	$10	$220

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$11.6M
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Robert Mahanti	AZ	Ophthalmology Physician	$371.8K	$0
John Morelli	OK	Diagnostic Radiology Physician	$214.5K	$0
Rona Gazaway	MN	Diagnostic Radiology Physician	$155.4K	$0
Matthew Ashton	UT	Emergency Medicine Physician	$80.5K	$7K
Zandra Nocera	AZ	Diagnostic Radiology Physician	$59.1K	$1.6K
Alisa Fujihashi	AR	Emergency Medicine Physician	$58.4K	$0
Cabe Clark	UT	Emergency Medicine Physician	$41.1K	$13.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Fort Defiance Indian Hospital Board, Incorporation	AZ	General Acute Care Hospital	$0	$13M
Bernadette Giangreco	AZ	Podiatrist	$174.6K	$0
Evan Ross	AZ	Foot & Ankle Surgery Podiatrist	$108.5K	$0
William Reno	AZ	Certified Registered Nurse Anesthetist	$60.3K	$0
Christian Gomez-castro	AZ	Diagnostic Radiology Physician	$33.4K	$0
Amber Heym	AZ	Emergency Medicine Physician	$8.8K	$0
Tyrone Walker	AZ	Emergency Medicine Physician	$8K	$0
Charles Page	AZ	Emergency Medicine Physician	$6.6K	$0
Miriam Rollason	AZ	Physician Assistant	$4.9K	$0
Tessa Facer	AZ	Physician Assistant	$4.3K	$0

James Villareal — Billing Profile & Reimbursement Data

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James Villareal — 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

Nearby Providers

Frequently Asked Questions

References