Physician
Shearer, Hugh
Shearer, Hugh was paid $77K by Medicaid between Nov 2020 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoSHEARER, HUGH
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1316974579assigned 06/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$77K
24GClaims4,955
24DCodes billed13
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#747 of 2,756
Median peer was paid$19K
This provider vs. median4.0×
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 | 77 | $3K | |
| 2021 | 505 | $16K | |
| 2022 | 1,301 | $19K | |
| 2023 | 1,701 | $23K | |
| 2024incomplete | 1,371 | $16K |
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 | 53% | 1,324 | 1,241 | $40K |
| 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 | 47% | 825 | 809 | $36K |
| G0008 | Administration of influenza virus vaccine | <1% | 40 | 40 | $429.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 671 | 631 | $0.00 |
| 3288F | 0% | 107 | 105 | $0.00 | |
| 3078F | 0% | 548 | 524 | $0.00 | |
| 4004F | 0% | 58 | 55 | $0.00 | |
| 3074F | 0% | 770 | 732 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 283 | 271 | $0.00 |
| 3079F | 0% | 271 | 259 | $0.00 | |
| 1036F | 0% | 18 | 17 | $0.00 | |
| 3075F | 0% | 13 | 13 | $0.00 |
1 more codes
| 90686 | 0% | 27 | $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.