Physician
Sepulveda & Associates, PC
Sepulveda & Associates, PC was paid $522K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 34% of everything it billed.
33Billing provider infoSEPULVEDA & ASSOCIATES, PC
CHELMSFORD, MA 01824
CHELMSFORD, MA 01824
33aNPI1891992194assigned 06/29/2007
33bProvider typeNephrology Physician
28Total paid$522K
24GClaims22,585
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Massachusetts
Rank by total paid#10 of 46
Median peer was paid$28K
This provider vs. median19×
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 | 3,326 | $77K | |
| 2019 | 3,370 | $81K | |
| 2020 | 3,220 | $69K | |
| 2021 | 3,358 | $74K | |
| 2022 | 2,991 | $68K | |
| 2023 | 3,565 | $70K | |
| 2024incomplete | 2,755 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 34% | 11,936 | 2,748 | $176K |
| 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 | 21% | 3,396 | 3,110 | $110K |
| 99223 | Prolong inpt eval add15 m | 18% | 2,113 | 1,982 | $96K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.2% | 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 | 7.4% | 1,115 | 1,115 | $38K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.3% | 1,948 | 1,820 | $33K |
| 99220 | 2.5% | 235 | 227 | $13K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.3% | 211 | 200 | $7K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 140 | 132 | $3K |
| 99225 | <1% | 103 | 81 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialSEPULVEDA, SEBASTIAN (CEO)