Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Schaffer, Lori

Schaffer, Lori was paid $267K by Medicaid between Mar 2021 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoSCHAFFER, LORI
DU BOIS, PA 15801
33aNPI1184167090assigned 11/25/2016
28Total paid$267K
24GClaims24,663
24DCodes billed26
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Pennsylvania

Rank by total paid#63 of 1,075
Median peer was paid$8K
This provider vs. median32×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20212,258$33K
20224,913$54K
20239,290$96K
2024incomplete8,202$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 84% 6,107 5,517 $224K
G0444 Annual depression screening, 5 to 15 minutes 4.7% 1,034 1,033 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.6% 291 289 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.6% 105 105 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.6% 198 197 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.2% 53 53 $3K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.1% 50 50 $3K
92551 <1% 552 543 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 45 44 $2K
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 <1% 32 31 $2K
99173 <1% 566 556 $2K
99308 Subsequent nursing facility care, per day, straightforward <1% 48 44 $857.61
14 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 27 $84.59
96127 <1% 67 $18.10
3077F 0% 520 $0.00
1003F 0% 870 $0.00
96160 0% 86 $0.00
3078F 0% 2,707 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 12 $0.00
3075F 0% 917 $0.00
3080F 0% 366 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 799 $0.00
3008F 0% 3,840 $0.00
1111F 0% 290 $0.00
3079F 0% 1,696 $0.00
3074F 0% 3,385 $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.