Sencion, Sergio

Sencion, Sergio was paid $39K by Medicaid between Jan 2018 and Apr 2020, across 39 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 34% of everything it billed.

33Billing provider infoSENCION, SERGIO
NEW YORK, NY 10033

33aNPI1861543753assigned 01/16/2007

33bProvider typePediatrics Physician

28Total paid$39K

24GClaims10,363

24DCodes billed39

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#852 of 1,983

Median peer was paid$17K

This provider vs. median2.3×

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	2,191	$16K
2019	6,017	$20K
2020	2,155	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	34%	564	554	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	1,008	857	$13K
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	12%	121	112	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.5%	38	38	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.3%	31	31	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.1%	208	184	$1K
99173		2.4%	250	248	$925.00
97802		1.6%	380	330	$642.34
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.6%	286	283	$630.99
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.4%	36	36	$542.65
92551		1.2%	374	371	$484.88
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	42	41	$258.00

27 more codes

99406		<1%	43	$174.12
H0001	Alcohol and/or drug assessment	<1%	123	$150.23
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	<1%	154	$45.00
G9820	Documentation of a chlamydia screening test with proper follow-up	<1%	25	$45.00
99401		<1%	72	$40.00
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	144	$36.94
96160		<1%	186	$32.71
87081		<1%	42	$26.00
1160F		<1%	191	$20.44
90686		<1%	44	$19.03
90654		<1%	134	$18.92
1159F		<1%	230	$6.80
3008F		<1%	1,059	$0.01
2010F		0%	1,440	$0.00
1005F		0%	149	$0.00
2000F		0%	615	$0.00
1030F		0%	115	$0.00
2016F		0%	150	$0.00
2001F		0%	1,050	$0.00
1000F		0%	119	$0.00
1036F		0%	61	$0.00
3028F		0%	461	$0.00
3725F		0%	153	$0.00
90461		0%	39	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	92	$0.00
3016F		0%	106	$0.00
90670		0%	28	$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.