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

Samir B Pancholy LLC

Samir B Pancholy LLC was paid $60K by Medicaid between Nov 2020 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoSAMIR B PANCHOLY LLC
OLYPHANT, PA 18447
33aNPI1942350087assigned 01/11/2007
28Total paid$60K
24GClaims2,103
24DCodes billed5
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers

Next to other Interventional Cardiology Physician providers in Pennsylvania

Rank by total paid#8 of 71
Median peer was paid$4K
This provider vs. median15×

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$2.0K$4.0K2018201920202021202220232024
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
202068$2K
2021442$13K
2022549$15K
2023558$15K
2024incomplete486$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 52% 738 713 $31K
93000 31% 1,225 1,182 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16% 111 109 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 16 15 $500.00
93228 <1% 13 13 $97.50

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 officialPANCHOLY, SAMIR (OWNER)