James S. Shafer, M.D.

James S. Shafer, M.D. was paid $87K by Medicaid between Jan 2018 and Feb 2019, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoJAMES S. SHAFER, M.D.
COVINA, CA 91723

33aNPI1194845776assigned 03/29/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$87K

24GClaims1,913

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#109 of 292

Median peer was paid$24K

This provider vs. median3.7×

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	1,622	$71K
2019	291	$16K

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	40%	666	644	$34K
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	35%	359	358	$30K
99358	Prolong nursin fac eval 15m	11%	559	540	$10K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	149	149	$10K
20610		1.6%	52	44	$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	1.4%	33	29	$1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	59	56	$206.99
73562		<1%	36	31	$162.74

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.

From NPPES

Who's on the registration

Authorized officialSHAFER, JAMES (PRESIDENT)