Shum, Helen

Shum, Helen was paid $177K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoSHUM, HELEN
NEW HYDE PARK, NY 11042

33aNPI1821227273assigned 07/07/2009

33bProvider typeInternal Medicine Physician

28Total paid$177K

24GClaims6,697

24DCodes billed20

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#926 of 6,049

Median peer was paid$11K

This provider vs. median16×

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	200	$5K
2019	502	$8K
2020	466	$10K
2021	911	$29K
2022	1,526	$40K
2023	2,236	$54K
2024incomplete	856	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	68%	1,973	1,892	$121K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	10%	255	213	$18K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.4%	447	245	$8K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	3.8%	1,518	1,311	$7K
80053	Comprehensive metabolic panel	3.1%	784	716	$6K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.0%	24	24	$4K
82728		1.7%	319	315	$3K
82607		1.5%	244	242	$3K
82746		1.4%	244	242	$2K
99490	Ccm add 20min	1.0%	94	93	$2K
83540		<1%	319	315	$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	<1%	16	15	$1K

8 more codes

96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	154	$834.19
83615		<1%	76	$262.53
83550		<1%	29	$198.41
36415	Collection of venous blood by venipuncture	<1%	142	$118.46
83735		<1%	15	$85.69
84100		<1%	18	$73.49
84550		<1%	14	$56.98
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	12	$9.37

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.