Sepulveda, Ernesto
Sepulveda, Ernesto was paid $43K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 44% of everything it billed.
33Billing provider infoSEPULVEDA, ERNESTO
ANASCO, PR 00610
ANASCO, PR 00610
33aNPI1013907518assigned 10/26/2005
33bProvider typeOptometrist
28Total paid$43K
24GClaims1,770
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#145 of 299
Median peer was paid$40K
This provider vs. median1.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 610 | $8K | |
| 2019 | 417 | $13K | |
| 2020 | 279 | $8K | |
| 2021 | 152 | $4K | |
| 2022 | 102 | $3K | |
| 2023 | 139 | $5K | |
| 2024incomplete | 71 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 44% | 944 | 868 | $19K |
| 92002 | 25% | 426 | 389 | $11K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 16% | 138 | 123 | $7K |
| 92250 | 15% | 262 | 184 | $7K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.