Pongnon, Sheila

Pongnon, Sheila was paid $157K by Medicaid between Feb 2018 and Aug 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoPONGNON, SHEILA
MOUNT VERNON, NY 10550

33aNPI1457379331assigned 07/18/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$157K

24GClaims2,122

24DCodes billed12

24AFirst – last monthFeb 2018 – Aug 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in New York

Rank by total paid#228 of 762

Median peer was paid$22K

This provider vs. median7.2×

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	245	$8K
2019	162	$8K
2020	417	$24K
2021	401	$35K
2022	475	$49K
2023	328	$26K
2024incomplete	94	$7K

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	35%	780	702	$54K
76830	Ultrasound, transvaginal	22%	445	442	$35K
93975		19%	108	108	$30K
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	17%	210	187	$26K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	3.9%	165	165	$6K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.2%	15	15	$2K
G0444	Annual depression screening, 5 to 15 minutes	1.0%	84	83	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	16	16	$886.17
99000		<1%	149	137	$322.52
96127		<1%	55	52	$223.14
36415	Collection of venous blood by venipuncture	<1%	71	64	$156.15
81025		<1%	24	24	$56.47

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.