Physician

Patrick Gerard Villafuerte, M.D

According to 2025 Medicare claims, Patrick Villafuerte, M.D (NPI: 1114295722) practices infectious disease in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Lawrence, OH. This provider's primary affiliated billing organization is KINGS DAUGHTERS MEDICAL SPECIALTIES INC (NPI: 1669791323; TIN: 264183569) and primary practice location at 41101-2843.

Villafuerte's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 309 traditional Medicare patients, billed 1,004 HCPCS/CPT codes, and received $91,507 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 310 prescription claims across 79 beneficiaries totaling $370,692 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). Open Payments data shows 89 records totaling $1,672. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $161,565 to $91,507. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $431,482 and ending at $370,692. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$112K$224K2015 Medicare payment: $161,565 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $185,621 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $224,224 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $205,479 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $203,035 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $164,118 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $130,367 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $104,041 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $105,607 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $91,507 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154181,923$161,565
20165072,162$185,621
20175982,597$224,224
20186072,306$205,479
20195612,298$203,035
20204721,926$164,118
20213891,523$130,367
20223391,203$104,041
20233241,192$105,607
20243091,004$91,507

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$399K$799K2015 Drug cost: $431,482 (USD; Tot_Drug_Cst)2016 Drug cost: $758,424 (USD; Tot_Drug_Cst)2017 Drug cost: $650,956 (USD; Tot_Drug_Cst)2018 Drug cost: $364,301 (USD; Tot_Drug_Cst)2019 Drug cost: $526,226 (USD; Tot_Drug_Cst)2020 Drug cost: $442,631 (USD; Tot_Drug_Cst)2021 Drug cost: $518,418 (USD; Tot_Drug_Cst)2022 Drug cost: $798,669 (USD; Tot_Drug_Cst)2023 Drug cost: $794,745 (USD; Tot_Drug_Cst)2024 Drug cost: $370,692 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201544524$431,482
201657560$758,424
201780657$650,956
2018118613$364,301
2019121791$526,226
2020111568$442,631
2021105588$518,418
2022101584$798,669
202398533$794,745
202479310$370,692

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes2935$159
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes206233$127
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes168411$88
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3549$68
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes143200$58

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BiktarvyBictegrav/Emtricit/Tenofov Ala521,620$203,655
DescovyEmtricitabine/Tenofov Alafenam19570$40,779
DaptomycinDaptomycin15104$34,427
PifeltroDoravirine14420$24,251
ErtapenemErtapenem Sodium1379$10,333

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.89$1,672Gilead Sciences, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Patrick Gerard Villafuerte, M.D?

Tedicare shows public-source Medicare data for Patrick Gerard Villafuerte, M.D (NPI 1114295722), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Patrick Gerard Villafuerte, M.D have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Patrick Gerard Villafuerte, M.D?

Patrick Gerard Villafuerte, M.D is linked to KINGS DAUGHTERS MEDICAL SPECIALTIES INC (billing NPI 1669791323) in the available physician profile data.

Does Patrick Gerard Villafuerte, M.D have Open Payments data?

Patrick Gerard Villafuerte, M.D has 89 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.