Sheba, Justin

Sheba, Justin was paid $111K by Medicaid between Sep 2020 and Nov 2024, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 39% of everything it billed.

33Billing provider infoSHEBA, JUSTIN
ROSTRAVER TWP, PA 15012

33aNPI1649307588assigned 02/27/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$111K

24GClaims4,759

24DCodes billed8

24AFirst – last monthSep 2020 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#20 of 291

Median peer was paid$7K

This provider vs. median15×

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	213	$3K
2021	1,550	$32K
2022	1,195	$28K
2023	1,387	$32K
2024incomplete	414	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	39%	916	908	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	1,463	1,405	$38K
20610		21%	1,837	846	$23K
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	2.1%	29	29	$2K
J1040	Injection, methylprednisolone acetate, 80 mg	1.7%	359	326	$2K
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	1.0%	27	27	$1K
73562		<1%	89	88	$770.34
99024		0%	39	33	$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.