Sepulveda-Villa, Ileana

Sepulveda-Villa, Ileana was paid $3K by Medicaid between Nov 2018 and Jun 2024, across 10 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 54% of everything it billed.

33Billing provider infoSEPULVEDA-VILLA, ILEANA
YAUCO, PR 00698

33aNPI1245309244assigned 11/06/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$3K

24GClaims3,771

24DCodes billed10

24AFirst – last monthNov 2018 – Jun 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Puerto Rico

Rank by total paid#8 of 18

Median peer was paid$1K

This provider vs. median3.1×

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	160	$96.00
2019	1,139	$161.14
2020	297	$625.97
2021	574	$1K
2022	834	$1K
2023	515	$20.48
2024incomplete	252	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	54%	1,261	1,052	$2K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	17%	252	204	$600.90
99441		7.9%	184	161	$273.00
99442		6.0%	100	89	$210.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.2%	39	31	$179.47
99201		2.8%	60	43	$96.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.7%	587	473	$94.76
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.7%	374	304	$94.76
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	392	306	$23.69
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	522	454	$20.48

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.