Physician

Carlos F Villamarin, MD

According to 2025 Medicare claims, Carlos Villamarin, MD (NPI: 1396931598) practices family practice in the Lewiston-Auburn, ME market, with the plurality of this provider's patient population coming from Androscoggin, ME. This provider's primary affiliated billing organization is CENTRAL MAINE MEDICAL CENTER (NPI: 1689653487; TIN: 010211494) and primary practice location at 04240-7027. Villamarin is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), participating under the MSSP model.

Villamarin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 246 traditional Medicare patients, billed 575 HCPCS/CPT codes, and received $51,807 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 218 prescription claims across 93 beneficiaries totaling $12,063 in drug costs, led by Cefdinir (Cefdinir). 2022 DME data shows 52 claims. No Open Payments records. 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 declined steadily, from $89,569 to $51,807. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $9,194 and ending at $12,063. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $2,133 to $1,159.

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$52K$105K2015 Medicare payment: $89,569 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $86,711 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $104,807 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $87,577 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $81,277 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $67,761 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $61,624 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $50,032 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $45,433 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $51,807 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154731,192$89,569
20164901,059$86,711
20175651,274$104,807
20184881,081$87,577
2019456946$81,277
2020327747$67,761
2021313708$61,624
2022247625$50,032
2023212598$45,433
2024246575$51,807

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$8.3K$17K2015 Drug cost: $9,194 (USD; Tot_Drug_Cst)2016 Drug cost: $5,547 (USD; Tot_Drug_Cst)2017 Drug cost: $4,226 (USD; Tot_Drug_Cst)2018 Drug cost: $16,662 (USD; Tot_Drug_Cst)2019 Drug cost: $8,683 (USD; Tot_Drug_Cst)2020 Drug cost: $3,686 (USD; Tot_Drug_Cst)2021 Drug cost: $5,073 (USD; Tot_Drug_Cst)2022 Drug cost: $8,864 (USD; Tot_Drug_Cst)2023 Drug cost: $14,734 (USD; Tot_Drug_Cst)2024 Drug cost: $12,063 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201563312$9,194
201643167$5,547
201778172$4,226
201879306$16,662
201986197$8,683
202069136$3,686
202173164$5,073
202289202$8,864
2023102264$14,734
202493218$12,063

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$15K$29K2015 Medicare payment: $1,518 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $421 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,124 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,140 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $29,221 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R13$1,518
2016N/RN/RN/R
2017N/R11$421
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R39$2,124
2021N/R42$2,140
2022N/R52$29,221
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes107113$132
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes88170$94
99239Hospital discharge day management, more than 30 minutes6566$90
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2439$73
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes62141$62

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CefdinirCefdinir1241$107

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Carlos F. Villamarin, MD?

Tedicare shows public-source Medicare data for Carlos F. Villamarin, MD (NPI 1396931598), 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 Carlos F. Villamarin, MD have ACO affiliation data?

Carlos F. Villamarin, MD is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290).

What billing organization is linked to Carlos F. Villamarin, MD?

Carlos F. Villamarin, MD is linked to CENTRAL MAINE MEDICAL CENTER (billing NPI 1689653487) in the available physician profile data.

Does Carlos F. Villamarin, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.