NP / PA
Shaffer, Ruth
Shaffer, Ruth was paid $513K by Medicaid between Jan 2018 and Mar 2023, across 13 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoSHAFFER, RUTH
BERLIN, PA 15530
BERLIN, PA 15530
33aNPI1528442985assigned 07/16/2015
33bProvider typeFamily Nurse Practitioner
28Total paid$513K
24GClaims7,982
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#32 of 1,075
Median peer was paid$8K
This provider vs. median61×
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 | |
|---|---|---|---|
| 2018 | 1,373 | $94K | |
| 2019 | 1,676 | $104K | |
| 2020 | 1,544 | $92K | |
| 2021 | 1,200 | $84K | |
| 2022 | 2,027 | $117K | |
| 2023 | 162 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 3,919 | 3,538 | $513K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 1,814 | 1,689 | $0.00 |
| 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 | 0% | 1,033 | 980 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 139 | 138 | $0.00 |
| 36416 | 0% | 133 | 133 | $0.00 | |
| 4010F | 0% | 37 | 37 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 58 | 58 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 220 | 214 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | 12 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 14 | 14 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 546 | 541 | $0.00 |
| 99072 | 0% | 29 | 29 | $0.00 |
1 more codes
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 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.