Sepulveda, Robert

Sepulveda, Robert was paid $29K by Medicaid between Jan 2018 and Mar 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoSEPULVEDA, ROBERT
WESLACO, TX 78596

33aNPI1366473258assigned 07/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$29K

24GClaims2,238

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#372 of 1,028

Median peer was paid$10K

This provider vs. median2.8×

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

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	869	$13K
2019	735	$7K
2020	292	$5K
2021	285	$2K
2022	57	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	75%	1,861	1,406	$22K
99444		19%	94	24	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.3%	150	129	$956.63
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	3.0%	13	13	$860.50
G0008	Administration of influenza virus vaccine	0%	45	45	$0.00
1170F		0%	17	16	$0.00
90756		0%	45	45	$0.00
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	0%	13	13	$0.00

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.