Ad Ghaphery MD Professional Association

Ad Ghaphery MD Professional Association was paid $5K by Medicaid between Jan 2020 and Sep 2021, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 70% of everything it billed.

33Billing provider infoAD GHAPHERY MD PROFESSIONAL ASSOCIATION
WHEELING, WV 26003

33aNPI1073699237assigned 10/31/2006

33bProvider typeSurgery Physician

28Total paid$5K

24GClaims96

24DCodes billed2

24AFirst – last monthJan 2020 – Sep 2021

Compared with peers

Next to other Surgery Physician providers in West Virginia

Rank by total paid#18 of 21

Median peer was paid$28K

This provider vs. median0.2×

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
2020	64	$3K
2021	32	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	70%	63	58	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	33	28	$1K

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 officialGHAPHERY, DAVID (OFFICER)