Shearer, Denise

Shearer, Denise was paid $202K by Medicaid between Aug 2021 and Jul 2024, across 5 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 83% of everything it billed.

33Billing provider infoSHEARER, DENISE
BUTLER, PA 16001

33aNPI1487768115assigned 08/19/2006

33bProvider typePhysician Assistant

28Total paid$202K

24GClaims1,326

24DCodes billed5

24AFirst – last monthAug 2021 – Jul 2024

Compared with peers

Next to other Physician Assistant providers in Pennsylvania

Rank by total paid#35 of 511

Median peer was paid$7K

This provider vs. median30×

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
2021	125	$15K
2022	328	$49K
2023	448	$69K
2024incomplete	425	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	83%	616	616	$168K
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%	434	407	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.4%	212	197	$9K
G9008	Coordinated care fee, physician coordinated care oversight services	1.1%	13	13	$2K
80305		<1%	51	46	$580.87

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.