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

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

Carlos Chavez De Paz Villanueva (NPI 1770622011)

Field	Value
Entity Type	Individual
Organization	Carlos Chavez De Paz Villanueva
Address	163 Van Buren Rd
City	Caribou
State	ME
ZIP	04736
Taxonomy	Surgery Physician
NPI Enumerated	February 5, 2007

Payer Source	Total Paid
Medicare	$17.3K
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
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	120	$60	$6.9K
99214	The 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…	20	$100	$2.2K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	20	$120	$2.1K
45380	The 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…	20	$130	$2K
11104	The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.	20	$70	$1.6K
43239	The 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.	20	$70	$1.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.1K

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. Maine Distribution

Carlos Chavez De Paz Villanueva — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,130	2,500	70	$70	$7.2K
45380	58	60	30	$120	$5.3K
43239	58	70	50	$80	$4.7K
99213	495	2,350	50	$50	$4.3K
99222	452	500	20	$100	$2.8K
45378	12	30	20	$140	$2.6K
11104	5	20	10	$70	$1.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carlos Chavez De Paz Villanueva, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tidalhealth Physician Network, Inc.	DE	Family Medicine Physician	$0	$8.7M
Pines Health Services	ME	Internal Medicine Physician	$0	$7.6M
Pines Health Services	ME	Obstetrics & Gynecology Physician	$0	$7.1M
Justin Kucinski	MD	Internal Medicine Physician	$6.9M	$0
Pines Health Services	ME	Federally Qualified Health Center (FQHC)	$0	$3.7M
Pines Health Services	ME	Family Medicine Physician	$0	$3M
Tanya Clifford	MD	Nurse Practitioner	$2.9M	$0
Tidalhealth Physician Network, Inc.	DE	Family Medicine Physician	$0	$2.9M
Allan Espinosa Morazan	AZ	Medical Oncology Physician	$2.2M	$0
Muhammad Siddique	MD	Medical Oncology Physician	$1.6M	$0

Nearby Providers

Other providers in the same ZIP code as Carlos Chavez De Paz Villanueva, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aroostook Home Health Services	ME	Home Health Agency	$0	$15.8M
City Of Caribou	ME	General Acute Care Hospital	$0	$3M
City Of Caribou	ME	Land Ambulance	$312.2K	$1.6M
Lincare Inc.	ME	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Healing Hearts LLC	ME	Mental Health Counselor	$0	$1M
County Physical Therapy, LLC	ME	Physical Therapist	$0	$802.4K
Your Journey, LLC	ME	Community/Behavioral Health Agency	$0	$676.2K
David Conner	ME	Family Medicine Physician	$45.4K	$579.4K
Craig K. Small O.d. Family Eye Care	ME	Optometrist	$0	$522.7K
New Day Counseling Services, LLC	ME	Community/Behavioral Health Agency	$0	$508.6K

Carlos Chavez De Paz Villanueva — Billing Profile & Reimbursement Data

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Carlos Chavez De Paz Villanueva — 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