Rosario Sepulveda, Carlos

Rosario Sepulveda, Carlos was paid $357K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 36% of everything it billed.

33Billing provider infoROSARIO SEPULVEDA, CARLOS
MAYAGUEZ, PR 00680

33aNPI1710937180assigned 05/10/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$357K

24GClaims6,320

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#54 of 174

Median peer was paid$109K

This provider vs. median3.3×

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	1,029	$25K
2019	606	$13K
2020	462	$23K
2021	931	$77K
2022	1,172	$96K
2023	1,029	$62K
2024incomplete	1,091	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	36%	2,001	1,862	$128K
99205	Prolong outpt/office vis	20%	815	786	$71K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	913	863	$66K
93000		9.0%	1,471	1,416	$32K
99255		8.3%	758	697	$30K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.4%	261	252	$23K
93015		<1%	25	25	$3K
93224		<1%	25	25	$3K
93288		<1%	21	19	$511.46
99441		<1%	30	30	$96.90

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.