Physician
Sam N Ghoubrial MD INC
Sam N Ghoubrial MD INC was paid $299K by Medicaid between Jan 2018 and Aug 2023, across 14 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 31% of everything it billed.
33Billing provider infoSAM N GHOUBRIAL MD INC
WADSWORTH, OH 44281
WADSWORTH, OH 44281
33aNPI1821170911assigned 10/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$299K
24GClaims17,787
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#139 of 739
Median peer was paid$30K
This provider vs. median10×
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 | 3,560 | $57K | |
| 2019 | 3,300 | $48K | |
| 2020 | 2,414 | $35K | |
| 2021 | 2,485 | $41K | |
| 2022 | 4,304 | $92K | |
| 2023 | 1,724 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 31% | 8,492 | 6,482 | $94K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 27% | 4,894 | 3,376 | $80K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 1,201 | 1,071 | $39K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.1% | 1,079 | 171 | $27K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.9% | 295 | 269 | $18K |
| 99306 | Prolong nursin fac eval 15m | 3.4% | 202 | 180 | $10K |
| 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 | 3.4% | 243 | 229 | $10K |
| 99310 | Prolong nursin fac eval 15m | 3.2% | 384 | 313 | $10K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 550 | 120 | $8K |
| 99318 | <1% | 108 | 105 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 270 | 260 | $499.89 |
| 99305 | <1% | 29 | 28 | $492.19 |
2 more codes
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 officialPELFREY, CRYSTAL (OFFICE MANAGER)