Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Mercer › NPI 1467439422
NP / PA

Somers, Shelly

Somers, Shelly was paid $19K by Medicaid between Nov 2020 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoSOMERS, SHELLY
MERCER, PA 16137
33aNPI1467439422assigned 12/29/2005
33bProvider typeNurse Practitioner
28Total paid$19K
24GClaims570
24DCodes billed3
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Nurse Practitioner providers in Pennsylvania

Rank by total paid#126 of 372
Median peer was paid$7K
This provider vs. median2.8×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
202068$3K
2023276$9K
2024incomplete226$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 299 291 $9K
S9088 Services provided in an urgent care center (list in addition to code for service) 41% 240 238 $8K
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 11% 31 31 $2K

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.