Pike, Sheldon

Pike, Sheldon was paid $199K by Medicaid between Jan 2018 and Sep 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoPIKE, SHELDON
HEWLETT, NY 11557

33aNPI1225050412assigned 07/24/2006

33bProvider typeUrology Physician

28Total paid$199K

24GClaims8,927

24DCodes billed16

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#52 of 461

Median peer was paid$6K

This provider vs. median34×

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	1,179	$21K
2019	1,259	$25K
2020	1,159	$22K
2021	1,677	$36K
2022	1,331	$38K
2023	1,582	$39K
2024incomplete	740	$18K

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	30%	2,157	2,051	$60K
93976		12%	397	388	$24K
51729		12%	241	235	$23K
76770		9.9%	467	459	$20K
76857		8.2%	773	742	$16K
51728		7.3%	165	163	$14K
51784		6.1%	721	705	$12K
99490	Ccm add 20min	4.3%	891	886	$9K
51741		3.3%	1,329	1,299	$6K
99335		2.9%	528	526	$6K
51798		2.1%	1,033	1,019	$4K
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%	55	55	$2K

4 more codes

51797		<1%	46	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	63	$803.10
99336		<1%	49	$430.50
99327		<1%	12	$366.95

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.