Physician
DR Douglas C Shoenberger, PC
DR Douglas C Shoenberger, PC was paid $91K by Medicaid between Oct 2020 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoDR DOUGLAS C SHOENBERGER, PC
COOPERSBURG, PA 18036
COOPERSBURG, PA 18036
33aNPI1790902427assigned 04/20/2007
33bProvider typeFamily Medicine Physician
28Total paid$91K
24GClaims2,303
24DCodes billed6
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#670 of 2,756
Median peer was paid$19K
This provider vs. median4.7×
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 | 138 | $5K | |
| 2021 | 814 | $29K | |
| 2022 | 569 | $23K | |
| 2023 | 500 | $19K | |
| 2024incomplete | 282 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 1,281 | 1,137 | $41K |
| 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 | 31% | 624 | 577 | $28K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 23% | 334 | 294 | $20K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 36 | 34 | $1K |
| 96127 | <1% | 13 | 12 | $48.80 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 15 | 12 | $25.00 |
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.
From NPPES
Who's on the registration
Authorized officialWUESTHOFF, AMBER (OFFICE MANAGER)