Sepulveda, Sebastian

Sepulveda, Sebastian was paid $12K by Medicaid between May 2023 and Aug 2023, across 2 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 80% of everything it billed.

33Billing provider infoSEPULVEDA, SEBASTIAN
CHELMSFORD, MA 01824

33aNPI1558343129assigned 11/18/2005

33bProvider typeNephrology Physician

28Total paid$12K

24GClaims243

24DCodes billed2

24AFirst – last monthMay 2023 – Aug 2023

Compared with peers

Next to other Nephrology Physician providers in Massachusetts

Rank by total paid#27 of 46

Median peer was paid$28K

This provider vs. median0.4×

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
2023	243	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	80%	194	53	$10K
99238	Hospital discharge day management, 30 minutes or less	20%	49	43	$2K

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.