Physician
Apun, Sheena
Apun, Sheena was paid $2.11M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoAPUN, SHEENA
BABYLON, NY 11702
BABYLON, NY 11702
33aNPI1679665632assigned 09/28/2006
33bProvider typePediatrics Physician
28Total paid$2.11M
24GClaims67,626
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#159 of 1,983
Median peer was paid$17K
This provider vs. median124×
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 | 8,189 | $243K | |
| 2019 | 9,210 | $275K | |
| 2020 | 10,858 | $298K | |
| 2021 | 11,470 | $336K | |
| 2022 | 10,904 | $332K | |
| 2023 | 8,427 | $315K | |
| 2024incomplete | 8,568 | $312K |
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 | 21% | 7,158 | 6,456 | $435K |
| 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 | 19% | 4,569 | 4,269 | $392K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 8,857 | 8,611 | $291K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 2,480 | 2,461 | $155K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 2,441 | 2,390 | $147K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 2,229 | 2,208 | $145K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 2,487 | 2,389 | $97K |
| 92552 | 4.3% | 3,796 | 3,788 | $92K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 1,312 | 1,308 | $90K |
| 90461 | 1.5% | 1,936 | 1,930 | $31K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 1,152 | 1,127 | $30K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 1,591 | 1,560 | $29K |
47 more codes
| 94010 | 1.4% | 1,121 | $29K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 3,255 | $27K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,110 | $16K |
| H0001 | Alcohol and/or drug assessment | <1% | 1,539 | $15K |
| 92567 | <1% | 1,058 | $14K | |
| 99173 | <1% | 3,823 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,190 | $11K |
| 86580 | <1% | 1,483 | $10K | |
| 81002 | <1% | 3,813 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 675 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 926 | $8K |
| 99188 | <1% | 432 | $6K | |
| 0072A | <1% | 69 | $3K | |
| 0071A | <1% | 62 | $2K | |
| 86403 | <1% | 226 | $2K | |
| 0001A | <1% | 61 | $1K | |
| 90686 | <1% | 1,707 | $940.28 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 146 | $646.06 |
| 90677 | <1% | 30 | $581.33 | |
| 90656 | <1% | 210 | $491.70 | |
| 87070 | <1% | 308 | $337.78 | |
| 90651 | <1% | 25 | $230.03 | |
| 90619 | <1% | 39 | $190.29 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $153.13 |
| H0033 | Oral medication administration, direct observation | <1% | 149 | $143.72 |
| 90716 | <1% | 64 | $139.46 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 100 | $87.46 |
| 99072 | <1% | 1,256 | $85.00 | |
| 90707 | <1% | 79 | $73.99 | |
| 97802 | <1% | 33 | $54.36 | |
| 90685 | <1% | 53 | $21.81 | |
| 90648 | <1% | 276 | $17.85 | |
| 90700 | <1% | 728 | $12.00 | |
| 91307 | <1% | 87 | $0.48 | |
| 90671 | <1% | 28 | $0.22 | |
| 90688 | <1% | 29 | $0.06 | |
| 90713 | <1% | 328 | $0.01 | |
| 90680 | 0% | 143 | $0.00 | |
| 99000 | 0% | 219 | $0.00 | |
| 90744 | 0% | 50 | $0.00 | |
| 90670 | 0% | 404 | $0.00 | |
| 99001 | 0% | 109 | $0.00 | |
| 99080 | 0% | 53 | $0.00 | |
| 90658 | 0% | 24 | $0.00 | |
| 90734 | 0% | 32 | $0.00 | |
| 90633 | 0% | 40 | $0.00 | |
| 90715 | 0% | 12 | $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.