Physician
Sanjuan, Severiano
Sanjuan, Severiano was paid $224K by Medicaid between Jan 2018 and Mar 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoSANJUAN, SEVERIANO
MAPLEWOOD, NJ 07040
MAPLEWOOD, NJ 07040
33aNPI1891701595assigned 08/01/2006
33bProvider typePediatrics Physician
28Total paid$224K
24GClaims7,750
24DCodes billed17
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#245 of 549
Median peer was paid$154K
This provider vs. median1.5×
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 | 1,820 | $56K | |
| 2019 | 1,676 | $50K | |
| 2020 | 1,277 | $33K | |
| 2021 | 1,515 | $46K | |
| 2022 | 1,354 | $35K | |
| 2023 | 108 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 1,967 | 1,839 | $95K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 430 | 429 | $30K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 1,094 | 1,079 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 404 | 403 | $26K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.5% | 1,106 | 1,101 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 428 | 427 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 84 | 84 | $6K |
| 90461 | 2.1% | 246 | 245 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 77 | 77 | $5K |
| 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 | 1.4% | 49 | 48 | $3K |
| 3008F | <1% | 1,074 | 1,071 | $2K | |
| 99173 | <1% | 656 | 655 | $1K |
5 more codes
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.