Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SEPULVEDA, JOHN

NPI: 1619013109 · ARECIBO, PR 00612 · Infectious Disease Physician · NPI assigned 01/30/2007

$789K
Total Medicaid Paid
19,338
Total Claims
8,443
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,672 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 12,312 3,288 $489K
99244 Office or other outpatient consultation, moderate to high complexity 3,242 1,621 $150K
99253 3,647 3,433 $133K
99223 Prolong inpt eval add15 m 89 75 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48 26 $3K