Mccaffrey, Michael
Mccaffrey, Michael was paid $400K by Medicaid between Aug 2019 and Dec 2024, across 7 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 33% of everything it billed.
33Billing provider infoMCCAFFREY, MICHAEL
SOUTH PARK, PA 15129
SOUTH PARK, PA 15129
33aNPI1073548822assigned 07/11/2006
33bProvider typeOptometrist
28Total paid$400K
24GClaims9,332
24DCodes billed7
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#62 of 983
Median peer was paid$20K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2019 | 17 | $765.00 | |
| 2020 | 495 | $21K | |
| 2021 | 2,330 | $101K | |
| 2022 | 2,183 | $94K | |
| 2023 | 2,240 | $95K | |
| 2024incomplete | 2,067 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 33% | 2,909 | 2,892 | $130K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 32% | 2,823 | 2,805 | $127K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 917 | 894 | $41K |
| 92310 | 9.8% | 1,114 | 1,104 | $39K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.2% | 824 | 824 | $33K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.4% | 731 | 718 | $30K |
| V2799 | Vision item or service, miscellaneous | <1% | 14 | 14 | $280.00 |
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.