Sepulveda Franco, Julio

Sepulveda Franco, Julio was paid $123K by Medicaid between Jan 2018 and Jun 2021, across 9 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 47% of everything it billed.

33Billing provider infoSEPULVEDA FRANCO, JULIO
JUANA DIAZ, PR 00795

33aNPI1811983422assigned 09/20/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$123K

24GClaims2,984

24DCodes billed9

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#85 of 174

Median peer was paid$109K

This provider vs. median1.1×

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	1,794	$71K
2019	887	$31K
2020	216	$15K
2021	87	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	47%	321	318	$57K
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	14%	931	925	$18K
99443		13%	233	212	$16K
93016		7.9%	436	425	$10K
93018		7.3%	438	426	$9K
93000		6.3%	390	385	$8K
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	2.7%	136	132	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.0%	73	26	$1K
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%	26	26	$886.48

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.