Scibilia, James

Scibilia, James was paid $186K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoSCIBILIA, JAMES
BEAVER, PA 15009

33aNPI1750373353assigned 08/19/2005

33bProvider typePediatrics Physician

28Total paid$186K

24GClaims6,360

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#358 of 1,257

Median peer was paid$45K

This provider vs. median4.1×

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	364	$20K
2019	233	$12K
2020	947	$28K
2021	1,182	$34K
2022	969	$24K
2023	997	$26K
2024incomplete	1,668	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	39%	1,255	1,224	$72K
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%	1,708	1,636	$63K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.5%	158	158	$16K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.8%	126	126	$11K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.0%	122	121	$9K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.2%	77	77	$4K
99051		1.5%	117	108	$3K
90686		1.5%	337	330	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	1.1%	66	61	$2K
90670		<1%	83	83	$902.00
92551		<1%	659	655	$558.29
90647		<1%	47	47	$517.00

13 more codes

90723		<1%	44	$484.00
90656		<1%	73	$323.72
96127		<1%	167	$200.56
99173		<1%	580	$185.20
90681		<1%	13	$143.00
96160		<1%	141	$124.80
96161		<1%	94	$87.74
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	66	$7.69
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	127	$0.00
90677		0%	13	$0.00
83655		0%	27	$0.00
G9920	Screening performed and negative	0%	225	$0.00
99499		0%	35	$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.