Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMargarita Martino Villanueva
    Ask Trek AI about this page

    Margarita Martino Villanueva — Billing Profile & Reimbursement Data

    NPI 1801852868 · San Juan, PR · Emergency Medicine Physician

    Customize your policy alerts

    Sign up for Margarita Martino Villanueva — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Margarita Martino Villanueva is a emergency medicine physician provider located in San Juan, Puerto Rico. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMargarita Martino Villanueva
    Address400 Cordoba Park/bo Tortugo St.
    CitySan Juan
    StatePR
    ZIP00926
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedApril 26, 2006

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

    Payer SourceTotal Paid
    Medicare$40K
    Medicaid$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.140$140$20K
    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.160$90$14.6K
    99203The provider sees a new 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 provider…20$90$1.7K
    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.20$60$1.3K
    99213The 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…20$60$1.1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.80$10$500
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.20$20$300
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…10$20$290
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…20$10$130
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…10$1$20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992852670100$140$16.4K
    99284313040$90$4.7K
    992131,4321,53050$60$4.2K
    992836314020$50$1.9K
    9920321248020$70$1.8K
    8502535236060$10$1.1K
    87804253030$20$650
    710469611030$10$620
    81003101030$1$410
    930102016020$10$240

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paragon Emergency Services LLCFLEmergency Medicine Physician$0$53.1M
    Emergency Medicine Services Of Fl, LLCFLEmergency Medicine Physician$0$37.5M
    W4p LLCFLEmergency Medicine Physician$0$7.5M
    Jose AvilaFLEmergency Medicine Physician$770.7K$0
    Anthony BekkermanGUEmergency Medicine Physician$49.5K$623.9K
    Edward LucasFLEmergency Medicine Physician$165K$257.3K
    Franz PlumFLFamily Medicine Physician$397.4K$0
    Jason GrabertNVEmergency Medicine Physician$124.8K$177.1K
    Ruslan IvanovFLEmergency Medicine Physician$267.9K$0
    Deepak ReddyMIEmergency Medicine Physician$75.8K$169.6K

    Nearby Providers

    Other providers in the same ZIP code as Margarita Martino Villanueva, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Farmacia Doral, Inc.PRSpecialty Pharmacy$0$115.6M
    Grupo Neonatal C.s.p.PRNeonatal-Perinatal Medicine Physician$0$6M
    Aps Clinics Of Puerto Rico, Inc.PRAdult Mental Health Clinic/Center$0$5.7M
    Alejandro MarmolejoPRGeneral Practice Physician$2.5K$2.1M
    Bvr Ambulance Best Care IncPRLand Ambulance$10.2K$1.6M
    Jan Rodriguez FerrerPRInternal Medicine Physician$60.6K$1.4M
    Nuvasive Pr, Inc.PRDurable Medical Equipment & Medical Supplies$0$1.2M
    Rebeca CuebasPRPediatrics Physician$0$1M
    Cck Medical CspPRCardiovascular Disease Physician$0$983K
    Renato RiveraPRFamily Medicine Physician$0$886.7K

    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. Puerto Rico Distribution
    Margarita Martino Villanueva — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico