ZEPHYRENE VILLALUZ, M.D.
1825 CIVIC CENTER DR, N LAS VEGAS, NV 89030
NPI Number
1801073481
Practice location · View on Google Maps
Total Medicaid Payments
$555,008
+77% vs specialty average
Patients Seen
4,996
Total Claims
6,239
$ Per Patient
$111
Specialty avg: $54
Specialty Rank
#46 of 420
Family Medicine providers in Nevada
Peer Average
$314,431
Average total for Family Medicine
Claims per Patient
1.2
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $135,387 | |
| 2019 | $74,717 | |
| 2020 | $59,072 | |
| 2021 | $79,878 | |
| 2022 | $85,928 | |
| 2023 | $91,752 | |
| 2024 | $28,274 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99222 | Hospital admission — first day, moderate to serious problem | 3,060 | $386,157 | 69.6% | $126 |
| 99221 | Hospital admission — first day, simple to moderate problem | 429 | $41,519 | 7.5% | $97 |
| 99213 | Office visit for a simple problem (established patient) | 861 | $40,102 | 7.2% | $47 |
| 99231 | Hospital care — daily check by your doctor (minor update) | 1,199 | $35,270 | 6.4% | $29 |
| 99254 | Medical service or procedure | 343 | $33,008 | 5.9% | $96 |
| 99238 | Hospital discharge — doctor manages your release (30 minutes or less) | 167 | $7,568 | 1.4% | $45 |
| 99223 | Hospital admission — first day, complex or serious problem | 59 | $6,840 | 1.2% | $116 |
| 99252 | Medical service or procedure | 108 | $3,415 | 0.6% | $32 |
| 99203 | New patient office visit — moderate problem | 13 | $1,130 | 0.2% | $87 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.