Physician
Samuel Getachew MD, INC
Samuel Getachew MD, INC was paid $3.75M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSAMUEL GETACHEW MD, INC
LORAIN, OH 44052
LORAIN, OH 44052
33aNPI1972811081assigned 09/23/2010
33bProvider typePediatrics Physician
28Total paid$3.75M
24GClaims140,661
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#21 of 401
Median peer was paid$30K
This provider vs. median127×
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 | 26,435 | $605K | |
| 2019 | 23,503 | $561K | |
| 2020 | 19,059 | $481K | |
| 2021 | 19,767 | $573K | |
| 2022 | 18,251 | $582K | |
| 2023 | 17,714 | $514K | |
| 2024incomplete | 15,932 | $431K |
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 | 34% | 30,178 | 28,695 | $1.26M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 14,301 | 13,773 | $433K |
| 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 | 7.6% | 4,416 | 4,246 | $283K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.3% | 4,569 | 4,404 | $274K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 4,695 | 4,567 | $253K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 3,328 | 3,229 | $183K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 7,764 | 7,519 | $155K |
| 92552 | 3.7% | 12,260 | 11,906 | $138K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.3% | 2,630 | 2,522 | $86K |
| 90651 | 2.1% | 2,071 | 2,022 | $79K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 1,509 | 1,425 | $72K |
| 90670 | 1.9% | 2,290 | 2,214 | $71K |
39 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 7,906 | $59K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 4,700 | $57K |
| 90734 | <1% | 1,389 | $36K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,067 | $35K |
| 90716 | <1% | 1,270 | $34K | |
| 90620 | <1% | 817 | $33K | |
| 99173 | <1% | 13,905 | $29K | |
| 99383 | <1% | 390 | $25K | |
| 90619 | <1% | 497 | $23K | |
| 90686 | <1% | 4,139 | $21K | |
| 90633 | <1% | 1,192 | $20K | |
| 90707 | <1% | 1,285 | $14K | |
| 92551 | <1% | 1,798 | $10K | |
| 99381 | <1% | 136 | $8K | |
| 90647 | <1% | 1,310 | $7K | |
| 94664 | <1% | 685 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 491 | $5K |
| 90674 | <1% | 272 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 84 | $5K |
| 99384 | <1% | 63 | $4K | |
| 90715 | <1% | 740 | $4K | |
| 99382 | <1% | 47 | $3K | |
| 92567 | <1% | 224 | $3K | |
| 90723 | <1% | 1,379 | $3K | |
| 0071A | <1% | 14 | $1K | |
| 90680 | <1% | 693 | $1K | |
| 87807 | <1% | 85 | $784.77 | |
| 90700 | <1% | 456 | $566.50 | |
| 90696 | <1% | 257 | $542.00 | |
| 90713 | <1% | 185 | $343.25 | |
| 99441 | <1% | 12 | $134.40 | |
| 90744 | <1% | 111 | $115.75 | |
| 90688 | <1% | 197 | $25.75 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 124 | $3.18 |
| 90687 | 0% | 226 | $0.00 | |
| 90461 | 0% | 34 | $0.00 | |
| 90677 | 0% | 309 | $0.00 | |
| 94760 | 0% | 127 | $0.00 | |
| 90697 | 0% | 34 | $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.
From NPPES
Who's on the registration
Authorized officialGOCHER, LYDIA (MEDICAL BILLER)