MIGUEL A VILLALOBOS, MD
NPI 1073572228, individual, Saratoga Springs, UT, Family Medicine
- Hours beyond a day in 1 month, but with up to 1514 patients a month across 6 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 90471 ($27 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2023 | More hours than a day holds, even counting one unit per claim line | 28.5 | 1.8 | 1.2 | 1.7 | 1514 | 4 | 99212 99213 99214 | $2K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MIGUEL A VILLALOBOS, MD |
| Type | Individual |
| Status | Active |
| NPI issued | March 17, 2006, last updated January 16, 2014 |
| Practice location | 354 W STATE ROAD 73, Saratoga Springs, UT 84045-2901, 801-341-5200 |
| Mailing address | PO BOX 27128, Salt Lake City, UT 84127-0128 |
| Specialties | Family Medicine (207Q00000X, primary, license G77997 CA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $8.1M | 91% | $218 | $182 (top 5% from $488) | 65th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $360K | 4% | $75 | $60 (top 5% from $133) | 66th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $113K | 1% | $3.62 | $44 (top 5% from $110) | 7th percentile | |
| 0011A | Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose | $83K | 1% | $470 | $29 (top 5% from $65) | too few months to rank | |
| 90471 | Administration of vaccine | $44K | 0% | $27 | $10 (top 5% from $23) | 97th percentile | |
| 99391 | Medicaid service code | $44K | 0% | $30 | $76 (top 5% from $126) | 13th percentile | |
| 99392 | Medicaid service code | $40K | 0% | $24 | $78 (top 5% from $124) | 15th percentile | |
| 99393 | Medicaid service code | $27K | 0% | $20 | $78 (top 5% from $121) | 16th percentile |
In this area
6 providers in Utah County, UT carry an indicator in the public record, with $21K at stake between them. The most common is part of a provider network, on 6 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT Springville, UT, ranked 1490 | $21K |
|
| 3 | KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT American Fork, UT, ranked 3595 | $0 |
|
| 3 | HEALTH WATCH PROVO INC Orem, UT, ranked 3958 | $0 |
|
| 3 | AVALON CARE CENTER - VA PAYSON LLC Payson, UT, ranked 4293 | $0 |
|
| 3 | HEALTH WATCH HOSPICE OF UTAH INC. Orem, UT, ranked 6342 | $0 |
|
| 3 | CANYON UTAH LLC Springville, UT, ranked 7217 | $0 |
|
Recent enforcement in UT
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.