Krachman, Samuel

Krachman, Samuel was paid $16K by Medicaid between Nov 2020 and Feb 2022, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 37% of everything it billed.

33Billing provider infoKRACHMAN, SAMUEL
PHILADELPHIA, PA 19140

33aNPI1093703043assigned 10/12/2005

33bProvider typePulmonary Disease Physician

28Total paid$16K

24GClaims229

24DCodes billed4

24AFirst – last monthNov 2020 – Feb 2022

Compared with peers

Next to other Pulmonary Disease Physician providers in Pennsylvania

Rank by total paid#44 of 137

Median peer was paid$7K

This provider vs. median2.2×

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	29	$2K
2021	176	$13K
2022	24	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	37%	52	24	$6K
95806		36%	85	70	$6K
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	24%	80	61	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	12	12	$385.00

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.