Dr. Sheila Apicella, MD
36a East 36th Street, Suite 200, New York, NY 10016 • +1-937-555-6994
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & New York Percentiles
NPI #1538272273 • CBSA 35620 • Otolaryngology
Operating out of New York, NY (36a East 36th Street, Suite 200), Otolaryngology clinician Dr. Sheila Apicella, MD (accredited MD/DO training, 2007) maintains a mid-cohort balanced caseload (59.63th New York percentile) (46.48th NY percentile; Z-score -0.34σ across 1,596 documented services) with sub-specialty concentration in 40 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Sheila Apicella (10016) place 99213 at the top of the practice ledger (543 yearly units, 59.63th metro rank), rounded out by 31231 and 31575.
Uninsured and high-deductible cash patients visiting Dr. Sheila Apicella in New York (10016) face an estimated $239.00 initial evaluation fee at 36a East 36th Street, Suite 200 (in-person clinic visits only; 15-minute average reception wait; bedside manner 4.71/5 from 15 verified reports).
Spanning 19 years of clinical practice following 2007 graduation from medical training, Dr. Sheila Apicella integrates 40 Active CMS HCPCS Codes diagnostics for New York metro patients.
Compared against New York, NY Otolaryngology peers
1,596 annual services across 599 beneficiaries
Standard deviations from NY Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 543 | 59.63th | $184 – $252 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 399 | 61.63th | $370 – $508 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 303 | 60.63th | $270 – $370 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 207 | 59.63th | $130 – $178 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 144 | 56.63th | $116 – $159 |
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Dr. Sheila Apicella, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Apicella National Provider Identifier | NPI #1538272273 (MD) | CMS NPPES Registry (10016) |
| Dr. Apicella New York CMS Volume Rank | 59.63th Pct (1,596 CMS svcs; Z -0.341σ) | CMS Medicare Part B (NY Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New York, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 15 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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