Justin J Sheba DO PC

Justin J Sheba DO PC was paid $9K by Medicaid between Dec 2020 and Aug 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoJUSTIN J SHEBA DO PC
UNIONTOWN, PA 15401

33aNPI1225164684assigned 02/27/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$9K

24GClaims254

24DCodes billed2

24AFirst – last monthDec 2020 – Aug 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#135 of 291

Median peer was paid$7K

This provider vs. median1.2×

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
2020	13	$406.75
2021	187	$7K
2022	54	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	67%	194	187	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	33%	60	59	$3K

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 officialSAMPLES, TAMMY (ASSISTANT MANAGER)