Casillas Berumen, Sergio

Casillas Berumen, Sergio was paid $8K by Medicaid between Aug 2019 and Jan 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoCASILLAS BERUMEN, SERGIO
CHULA VISTA, CA 91911

33aNPI1437470762assigned 06/22/2010

33bProvider typeVascular Surgery Physician

28Total paid$8K

24GClaims573

24DCodes billed9

24AFirst – last monthAug 2019 – Jan 2023

Compared with peers

Next to other Vascular Surgery Physician providers in California

Rank by total paid#57 of 91

Median peer was paid$17K

This provider vs. median0.5×

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
2019	12	$141.75
2020	100	$1K
2021	159	$3K
2022	274	$3K
2023	28	$0.00

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	71%	291	272	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	9.1%	86	77	$692.62
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	8.2%	14	14	$626.72
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.1%	14	12	$463.50
93923		6.0%	13	13	$454.84
1036F		0%	34	26	$0.00
3008F		0%	13	13	$0.00
1159F		0%	54	45	$0.00
1160F		0%	54	45	$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.