Physician
Shipton, Benjamin
Shipton, Benjamin was paid $371K by Medicaid between Jun 2020 and Nov 2024, across 7 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 infoSHIPTON, BENJAMIN
MERCER, PA 16137
MERCER, PA 16137
33aNPI1912980723assigned 11/25/2005
33bProvider typeFamily Medicine Physician
28Total paid$371K
24GClaims4,255
24DCodes billed7
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#197 of 2,756
Median peer was paid$19K
This provider vs. median19×
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 | 139 | $12K | |
| 2021 | 507 | $54K | |
| 2022 | 486 | $45K | |
| 2023 | 2,067 | $169K | |
| 2024incomplete | 1,056 | $92K |
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% | 2,013 | 1,915 | $371K |
| 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% | 751 | 739 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 394 | 384 | $0.00 |
| 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% | 522 | 499 | $0.00 |
| 3008F | 0% | 463 | 455 | $0.00 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 79 | 75 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 33 | 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.