Sheba, David

Sheba, David was paid $58K by Medicaid between Oct 2020 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoSHEBA, DAVID
UNIONTOWN, PA 15401

33aNPI1326000340assigned 04/05/2006

33bProvider typeAdult Reconstructive Orthopaedic Surgery Physician

28Total paid$58K

24GClaims2,458

24DCodes billed10

24AFirst – last monthOct 2020 – Nov 2024

Compared with peers

Next to other Adult Reconstructive Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#1 of 13

Median peer was paid$5K

This provider vs. median12×

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	50	$849.35
2021	809	$18K
2022	632	$16K
2023	850	$21K
2024incomplete	117	$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	43%	907	864	$25K
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%	407	402	$19K
20610		19%	822	462	$11K
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	1.7%	12	12	$994.10
J1040	Injection, methylprednisolone acetate, 80 mg	1.3%	162	152	$774.54
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	12	12	$416.51
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%	13	13	$401.72
73562		<1%	43	41	$328.37
99024		0%	56	49	$0.00
J1010	Injection, methylprednisolone acetate, 1 mg	0%	24	24	$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.