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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Fernando Villamil (NPI 1982647418)

Field	Value
Entity Type	Individual
Organization	Fernando Villamil
Address	35 Ave Luis Munoz Rivera
City	San Juan
State	PR
ZIP	00901
Taxonomy	Orthopaedic Surgery of the Spine Physician
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicare	$187.3K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available claims: total Medicare revenue is $187.3K and there is no Medicaid billing on file. The absence of Medicaid activity means analyses of payer mix should treat this profile as Medicare‑dominated and not attempt inpatient Medicaid comparisons or Medicaid-network inferences from these data.

Revenue is concentrated in a small set of spine surgery codes: the precomputed top 3 Medicare codes by revenue account for 41.1% of this provider's total Medicare revenue, led by 22612 ($33K, 30 claims, $1101 avg paid/claim, 17.6% of Medicare revenue), 22551 ($25.5K, 20 claims, $1273 avg paid/claim, 13.6%), and 22853 ($18.4K, 96 claims, $192 avg paid/claim, 9.8%). This concentration indicates a reliance on fusion and interbody procedures for a large share of billed Medicare dollars.

The CPT mix indicates a procedural, spine‑surgery practice focused on lumbar and cervical arthrodesis and instrumented procedures: prominent codes include 22612, 22551, 22853, 22845, 22558 and multiple add‑on arthrodesis codes. High counts for device/instrumentation codes (for example 22853 with 96 claims) and the presence of graft/harvest codes (20938, 20939) point to operating-room cases with interbody devices, instrumentation, and autograft/bone‑marrow use rather than a purely clinic‑based practice.

Certain procedure codes show above‑typical national volume while others are typical: 22853 ranks #248 of 4082 providers nationally (94th percentile) and is described as notably above typical national volume, and 22845 ranks in the 93rd percentile, indicating above‑typical activity in interbody/device and anterior instrumentation work. By contrast, 22612 (rank #362 of 1984, 80th percentile) and 22551 (rank #292 of 1286, 74th percentile) are characterized as typical, unremarkable volumes, so the provider appears to have a niche strength in interbody/instrumentation relative to peers while maintaining typical volumes for other fusion codes.

Office evaluation and management activity is visible but secondary to operative work: 99214 shows 213 claims with $15.1K revenue (8.1% of Medicare revenue) and 99204 shows 74 claims with $7.8K (4.1%). These E/M volumes suggest ongoing postoperative follow‑up and new‑patient consultations supporting the surgical practice rather than large primary‑care or nonprocedural revenue streams.

Autograft and bone‑marrow harvest services are present in the surgical mix: 20938 (31 claims, $4.1K) and 20939 (51 claims, $2.7K) appear on the profile, with 20939 ranked in the 90th percentile nationally for reported volume. The presence and percentile placement of these codes underscore intraoperative grafting and marrow aspiration as routine components of the provider's spine surgeries.

Despite targeted strengths in certain device/instrumentation codes, the overall Medicare revenue base is modest: $187.3K total Medicare revenue is limited in scale for a surgical specialist. When combined with the lack of Medicaid billing, this suggests a concentrated, moderately sized Medicare spine practice rather than a high‑revenue multi‑payer surgical group.

The provider has long tenure in the registry: NPI enumerated on 2006-06-13 (~20 years). This extended enumeration period supports that current billing patterns reflect an established practice with sustained procedure mix and referral relationships rather than a newly entered provider profile.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22612	The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	30	$1,100	$33K
22551	A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.	20	$1,270	$25.5K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	100	$190	$18.4K
22845	The provider places spinal instrumentation at the front of the spine across two to three vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	30	$540	$18K
22558	The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…	30	$580	$16.2K
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…	210	$70	$15.1K
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	50	$290	$14.2K
22842	The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…	20	$560	$9K
22840	The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.	10	$560	$7.9K
99204	The 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…	70	$110	$7.8K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Fernando Villamil — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22551	1	10	20	$1,270	$25.5K
22845	1	10	30	$540	$17.9K
22612	1	10	20	$810	$17.8K
22558	1	10	30	$580	$16.2K
22614	1	10	50	$290	$14.2K
22842	1	10	20	$560	$9K
22853	1	10	30	$160	$7.7K
22840	1	10	10	$560	$7.2K
22552	1	10	30	$280	$7K
99214	36	470	50	$80	$6.6K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ian Rivera-colon	MA	Pain Medicine (Anesthesiology) Physician	$210.3K	$2K
Danya Julson	OK	Orthopaedic Surgery Physician	$114K	$0
James Bischoff	OK	Orthopaedic Hand Surgery Physician	$66.3K	$0
Carolyn Berg	OK	Surgery of the Hand (Surgery) Physician	$40.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantage Health Center LLC	PR	Internal Medicine Physician	$0	$741.6K
Jose De La Cruz-napoli	PR	Cornea and External Diseases Specialist Physician	$55.1K	$50.5K
Federico Maestre Grau	PR	Ophthalmology Physician	$37.4K	$0
Baruch Caballero-valiente	PR	Cardiovascular Disease Physician	$19.4K	$0
Joanna Busquets Ferriol	PR	Dermatology Physician	$15.1K	$2.3K
Caribe Pharmacy Management LLC	PR	Community/Retail Pharmacy	$15.1K	$0

Fernando Villamil — Billing Profile & Reimbursement Data

Sign up for Fernando Villamil — Billing Profile & Reimbursement Data policy alerts

Fernando Villamil — Billing Profile & Reimbursement Data

Sign up for Fernando Villamil — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References