Sepulveda, Veronica

Sepulveda, Veronica was paid $57K by Medicaid between Sep 2018 and Jun 2019, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 40% of everything it billed.

33Billing provider infoSEPULVEDA, VERONICA
SAN JUAN, PR 00919

33aNPI1649558719assigned 07/23/2011

33bProvider typePediatrics Physician

28Total paid$57K

24GClaims703

24DCodes billed3

24AFirst – last monthSep 2018 – Jun 2019

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#53 of 194

Median peer was paid$7K

This provider vs. median8.4×

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	263	$22K
2019	440	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	40%	251	249	$23K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	32%	134	134	$18K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	28%	318	318	$16K

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.