Physician

Enrico T Villanueva, M.D.

According to 2025 Medicare claims, Enrico Villanueva, M.D. (NPI: 1376513812) practices rheumatology in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Washington, MD. This provider's primary affiliated billing organization is CENTERS FOR ADVANCED ORTHOPAEDICS, LLC (NPI: 1962841627; TIN: 454852156) and primary practice location at 21740-6606. Villanueva is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Villanueva's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 332 traditional Medicare patients, billed 41,478 HCPCS/CPT codes, and received $637,147 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,253 prescription claims across 230 beneficiaries totaling $2,164,110 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 94 records totaling $2,014. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $242,146 to $2,164,110. 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.

Year	Patients	Clm Lines	Payment
2015	346	22,259	$417,688
2016	369	28,100	$554,840
2017	385	33,769	$646,839
2018	398	52,640	$760,168
2019	443	46,484	$613,355
2020	377	44,695	$587,725
2021	409	36,808	$618,951
2022	393	39,656	$627,262
2023	352	46,329	$683,725
2024	332	41,478	$637,147

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	158	786	$242,146
2016	173	833	$280,521
2017	183	877	$597,198
2018	200	918	$751,513
2019	210	993	$727,601
2020	186	1,147	$1,189,139
2021	222	1,189	$1,439,800
2022	219	1,197	$1,725,173
2023	221	1,253	$2,251,100
2024	230	1,253	$2,164,110

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$116
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	843	$91
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	95	126	$59
J0897	Injection, denosumab, 1 mg	44	4,620	$21
96372	Injection of drug or substance under skin or into muscle	49	114	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	74	2,184	$590,565
Cosentyx Sensoready Pen	Secukinumab	20	840	$251,338
Humira(Cf) Pen	Adalimumab	36	1,008	$248,975
Humira Pen	Adalimumab	22	896	$219,233
Otezla	Apremilast	34	1,020	$166,880

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	94	$2,014	Amgen Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Enrico T. Villanueva, M.D.?

Tedicare shows public-source Medicare data for Enrico T. Villanueva, M.D. (NPI 1376513812), 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 Enrico T. Villanueva, M.D. have ACO affiliation data?

Enrico T. Villanueva, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Enrico T. Villanueva, M.D.?

Enrico T. Villanueva, M.D. is linked to CENTERS FOR ADVANCED ORTHOPAEDICS, LLC (billing NPI 1962841627) in the available physician profile data.

Does Enrico T. Villanueva, M.D. have Open Payments data?

Enrico T. Villanueva, M.D. has 94 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.