Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SEPULVEDA & ASSOCIATES, PC

NPI: 1891992194 · CHELMSFORD, MA 01824 · Nephrology Physician · NPI assigned 06/29/2007

$522K
Total Medicaid Paid
22,585
Total Claims
11,734
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSEPULVEDA, SEBASTIAN (CEO)
NPI Enumeration Date06/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,326 $77K
2019 3,370 $81K
2020 3,220 $69K
2021 3,358 $74K
2022 2,991 $68K
2023 3,565 $70K
2024 2,755 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 11,936 2,748 $176K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,396 3,110 $110K
99223 Prolong inpt eval add15 m 2,113 1,982 $96K
99233 Prolong inpt eval add15 m 1,388 319 $43K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,115 1,115 $38K
99238 Hospital discharge day management, 30 minutes or less 1,948 1,820 $33K
99220 235 227 $13K
99222 Initial hospital care, per day, moderate complexity 211 200 $7K
99239 Hospital discharge day management, more than 30 minutes 140 132 $3K
99225 103 81 $2K