Physician
Sencion, Franklin
Sencion, Franklin was paid $6K by Medicaid between Jan 2018 and Jan 2023, across 24 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 19% of everything it billed.
33Billing provider infoSENCION, FRANKLIN
CORONA, NY 11368
CORONA, NY 11368
33aNPI1669594743assigned 04/06/2007
33bProvider typePediatrics Physician
28Total paid$6K
24GClaims2,667
24DCodes billed24
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#1,185 of 1,983
Median peer was paid$17K
This provider vs. median0.4×
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 | 98 | $0.00 | |
| 2021 | 2,084 | $3K | |
| 2023 | 485 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 19% | 50 | 50 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 17% | 49 | 49 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 67 | 64 | $996.75 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 25 | 25 | $917.88 |
| 99401 | 9.9% | 257 | 257 | $610.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.3% | 171 | 171 | $327.68 |
| 97802 | 5.0% | 170 | 170 | $308.70 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 204 | 204 | $286.72 |
| 92587 | 3.0% | 190 | 190 | $187.25 | |
| 90656 | 2.9% | 100 | 100 | $177.93 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 57 | 57 | $46.35 |
| H0001 | Alcohol and/or drug assessment | <1% | 127 | 127 | $40.00 |
12 more codes
| 90461 | <1% | 35 | $30.90 | |
| 99173 | <1% | 167 | $30.52 | |
| 3008F | 0% | 222 | $0.00 | |
| 1036F | 0% | 79 | $0.00 | |
| 1000F | 0% | 79 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 194 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 80 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 79 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 79 | $0.00 |
| 3016F | 0% | 80 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 3725F | 0% | 79 | $0.00 |
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.