Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IN › Fort Wayne › NPI 1033524715
Physician

Cepeda, Victor

Cepeda, Victor was paid $59K by Medicaid between Feb 2020 and Jul 2023, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 41% of everything it billed.

33Billing provider infoCEPEDA, VICTOR
FORT WAYNE, IN 46805
33aNPI1033524715assigned 06/21/2014
28Total paid$59K
24GClaims1,141
24DCodes billed5
24AFirst – last monthFeb 2020 – Jul 2023
Compared with peers

Next to other Infectious Disease Physician providers in Indiana

Rank by total paid#6 of 19
Median peer was paid$12K
This provider vs. median4.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2020183$6K
2021512$28K
2022253$14K
2023193$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 41% 310 287 $24K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 41% 617 537 $24K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 14% 166 98 $8K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.5% 34 33 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 14 12 $364.73

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.