Gaffney, Michael

Gaffney, Michael was paid $23K by Medicaid between Mar 2021 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoGAFFNEY, MICHAEL
NATRONA HEIGHTS, PA 15065

33aNPI1194726208assigned 08/10/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$23K

24GClaims1,075

24DCodes billed4

24AFirst – last monthMar 2021 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Pennsylvania

Rank by total paid#93 of 291

Median peer was paid$7K

This provider vs. median3.1×

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
2021	297	$7K
2022	175	$4K
2023	342	$7K
2024incomplete	261	$5K

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	77%	611	579	$18K
20610		19%	235	192	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.3%	13	13	$754.01
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1.0%	216	199	$237.50

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.