Physician
Pedro Sevilla LLC
Pedro Sevilla LLC was paid $325K by Medicaid between Dec 2018 and Nov 2024, across 14 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 73% of everything it billed.
33Billing provider infoPEDRO SEVILLA LLC
MIAMI, FL 33173
MIAMI, FL 33173
33aNPI1629430756assigned 03/28/2016
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$325K
24GClaims35,790
24DCodes billed14
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Florida
Rank by total paid#10 of 55
Median peer was paid$37K
This provider vs. median8.8×
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 | 150 | $4K | |
| 2019 | 3,372 | $39K | |
| 2020 | 7,181 | $75K | |
| 2021 | 5,788 | $60K | |
| 2022 | 4,792 | $35K | |
| 2023 | 7,220 | $58K | |
| 2024incomplete | 7,287 | $54K |
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 | 73% | 27,780 | 7,912 | $236K |
| 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 | 10% | 4,143 | 3,060 | $33K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.8% | 1,311 | 974 | $19K |
| 99223 | Prolong inpt eval add15 m | 4.6% | 814 | 642 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.8% | 905 | 430 | $9K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.0% | 189 | 59 | $7K |
| 99254 | <1% | 20 | 20 | $3K | |
| 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 | <1% | 37 | 26 | $2K |
| 94729 | <1% | 120 | 98 | $590.73 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 237 | 63 | $465.57 |
| 94727 | <1% | 134 | 110 | $462.97 | |
| 94060 | <1% | 34 | 26 | $153.70 |
2 more codes
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 33 | $53.92 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 33 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSEVILLA SAEZ-BENITO, PEDRO (OWNER)