Physician
Mansberger, James
Mansberger, James was paid $993K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoMANSBERGER, JAMES
HUNTINGDON, PA 16652
HUNTINGDON, PA 16652
33aNPI1821080979assigned 08/16/2005
33bProvider typePediatrics Physician
28Total paid$993K
24GClaims27,433
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#104 of 1,257
Median peer was paid$45K
This provider vs. median22×
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 | 82 | $8K | |
| 2019 | 19 | $2K | |
| 2020 | 584 | $25K | |
| 2021 | 5,009 | $207K | |
| 2022 | 5,698 | $206K | |
| 2023 | 7,682 | $277K | |
| 2024incomplete | 8,359 | $268K |
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 | 31% | 4,001 | 3,626 | $308K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,804 | 3,444 | $191K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,665 | 1,660 | $159K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,265 | 1,264 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,357 | 1,345 | $119K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 615 | 615 | $59K |
| 99188 | <1% | 344 | 344 | $7K | |
| 92551 | <1% | 1,817 | 1,816 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 80 | 78 | $3K |
| 90686 | <1% | 742 | 735 | $3K | |
| 99173 | <1% | 996 | 995 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 179 | 174 | $3K |
23 more codes
| 90648 | <1% | 986 | $2K | |
| 90670 | <1% | 694 | $2K | |
| 87428 | <1% | 57 | $2K | |
| 90680 | <1% | 642 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 122 | $1K |
| 90723 | <1% | 705 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,826 | $1K |
| 99177 | <1% | 390 | $443.88 | |
| 96127 | <1% | 931 | $346.94 | |
| 96160 | <1% | 931 | $301.89 | |
| 80061 | Lipid panel | <1% | 13 | $48.00 |
| 85018 | <1% | 12 | $3.37 | |
| 96161 | 0% | 1,148 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 324 | $0.00 |
| 90677 | 0% | 294 | $0.00 | |
| 90656 | 0% | 46 | $0.00 | |
| 90619 | 0% | 25 | $0.00 | |
| 83655 | 0% | 178 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 957 | $0.00 |
| 90633 | 0% | 185 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90661 | 0% | 78 | $0.00 | |
| 90707 | 0% | 12 | $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.