Sepulveda, Miguel

Sepulveda, Miguel was paid $60K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoSEPULVEDA, MIGUEL
CABO ROJO, PR 00623

33aNPI1477514354assigned 03/30/2006

33bProvider typeInternal Medicine Physician

28Total paid$60K

24GClaims1,167

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#154 of 518

Median peer was paid$5K

This provider vs. median12×

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	1,167	$60K

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	45%	407	397	$27K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	33%	295	291	$20K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	14%	207	206	$8K
99201		6.3%	92	92	$4K
81002		<1%	137	137	$403.53
87430		<1%	29	28	$399.26

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.