Physician
Shambaugh Pediatrics INC
Shambaugh Pediatrics INC was paid $424K by Medicaid between Dec 2019 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSHAMBAUGH PEDIATRICS INC
NEW BLOOMFIELD, PA 17068
NEW BLOOMFIELD, PA 17068
33aNPI1265834196assigned 09/23/2014
33bProvider typePediatrics Physician
28Total paid$424K
24GClaims10,198
24DCodes billed20
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#226 of 1,257
Median peer was paid$45K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2019 | 15 | $469.00 | |
| 2020 | 337 | $15K | |
| 2021 | 2,375 | $109K | |
| 2022 | 2,706 | $108K | |
| 2023 | 2,410 | $103K | |
| 2024incomplete | 2,355 | $89K |
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 | 37% | 4,145 | 3,694 | $157K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 886 | 867 | $85K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 828 | 753 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 549 | 521 | $51K |
| 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 | 5.8% | 419 | 393 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 132 | 131 | $12K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 177 | 166 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 1,194 | 1,134 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 314 | 147 | $4K |
| 90677 | <1% | 43 | 42 | $2K | |
| 87430 | <1% | 193 | 186 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 150 | 146 | $503.77 |
8 more codes
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 officialSHAMBAUGH, COREY (OWNER)