Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Krapf, Sean

Krapf, Sean was paid $12K by Medicaid between Mar 2018 and May 2022, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 82% of everything it billed.

33Billing provider infoKRAPF, SEAN
OCEANSIDE, NY 11572
33aNPI1831539196assigned 07/01/2013
28Total paid$12K
24GClaims635
24DCodes billed5
24AFirst – last monthMar 2018 – May 2022
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#575 of 2,113
Median peer was paid$5K
This provider vs. median2.7×

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

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
201895$3K
2019146$2K
2020310$5K
202172$2K
202212$332.60
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 82% 332 330 $10K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 84 84 $2K
G9744 Patient not eligible due to active diagnosis of hypertension 0% 121 118 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 45 44 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 53 53 $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.