Sepulveda, John

Sepulveda, John was paid $789K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 62% of everything it billed.

33Billing provider infoSEPULVEDA, JOHN
ARECIBO, PR 00612

33aNPI1619013109assigned 01/30/2007

33bProvider typeInfectious Disease Physician

28Total paid$789K

24GClaims19,338

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Infectious Disease Physician providers in Puerto Rico

Rank by total paid#4 of 57

Median peer was paid$106K

This provider vs. median7.4×

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
2018	3,432	$120K
2019	3,021	$90K
2020	2,840	$89K
2021	2,480	$114K
2022	2,198	$104K
2023	2,695	$129K
2024incomplete	2,672	$143K

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	62%	12,312	3,288	$489K
99244	Office or other outpatient consultation, moderate to high complexity	19%	3,242	1,621	$150K
99253		17%	3,647	3,433	$133K
99223	Prolong inpt eval add15 m	1.8%	89	75	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	48	26	$3K

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.