Sepulveda-Abreu, Ramon

Sepulveda-Abreu, Ramon was paid $101K by Medicaid between Jan 2018 and May 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoSEPULVEDA-ABREU, RAMON
HUMACAO, PR 00791

33aNPI1558359927assigned 10/11/2005

33bProvider typeUrology Physician

28Total paid$101K

24GClaims2,668

24DCodes billed4

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Urology Physician providers in Puerto Rico

Rank by total paid#21 of 62

Median peer was paid$25K

This provider vs. median4.1×

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	462	$5K
2019	510	$7K
2020	348	$12K
2021	509	$26K
2022	456	$26K
2023	290	$19K
2024incomplete	93	$6K

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	61%	1,910	1,691	$62K
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	36%	603	565	$36K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	78	74	$2K
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	1.5%	77	72	$1K

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.