NP / PA
Gilmore, Sharon
Gilmore, Sharon was paid $14K by Medicaid between Dec 2020 and Aug 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoGILMORE, SHARON
REYNOLDSVILLE, PA 15851
REYNOLDSVILLE, PA 15851
33aNPI1982799656assigned 10/04/2006
33bProvider typePediatric Nurse Practitioner
28Total paid$14K
24GClaims699
24DCodes billed4
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Pennsylvania
Rank by total paid#24 of 62
Median peer was paid$7K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2020 | 25 | $817.74 | |
| 2021 | 161 | $4K | |
| 2022 | 313 | $5K | |
| 2023 | 69 | $2K | |
| 2024incomplete | 131 | $2K |
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 | 100% | 395 | 382 | $14K |
| 3078F | 0% | 44 | 43 | $0.00 | |
| 3008F | 0% | 158 | 146 | $0.00 | |
| 3074F | 0% | 102 | 95 | $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.