Gaffney, Brian

Gaffney, Brian was paid $17K by Medicaid between May 2018 and Dec 2023, across 7 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 42% of everything it billed.

33Billing provider infoGAFFNEY, BRIAN
UTICA, NY 13501

33aNPI1154329688assigned 07/08/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$17K

24GClaims592

24DCodes billed7

24AFirst – last monthMay 2018 – Dec 2023

Compared with peers

Next to other Cardiovascular Disease Physician providers in New York

Rank by total paid#729 of 1,564

Median peer was paid$13K

This provider vs. median1.3×

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	72	$2K
2019	226	$6K
2020	153	$4K
2021	37	$2K
2022	52	$2K
2023	52	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	42%	169	168	$7K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	26%	97	95	$4K
J2785	Injection, regadenoson, 0.1 mg	14%	108	107	$2K
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	7.5%	69	68	$1K
93015		5.8%	79	78	$981.43
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.7%	25	25	$459.14
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	2.6%	45	45	$434.65

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.