Physician
Gaffney Health Services INC.
Gaffney Health Services INC. was paid $334K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoGAFFNEY HEALTH SERVICES INC.
CHARLOTTE, NC 28205
CHARLOTTE, NC 28205
33aNPI1275778011assigned 12/09/2008
33bProvider typeFamily Medicine Physician
28Total paid$334K
24GClaims29,858
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#340 of 960
Median peer was paid$135K
This provider vs. median2.5×
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 | 3,423 | $59K | |
| 2019 | 5,200 | $98K | |
| 2020 | 1,382 | $37K | |
| 2021 | 1,869 | $14K | |
| 2022 | 4,465 | $28K | |
| 2023 | 7,079 | $46K | |
| 2024incomplete | 6,440 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 2,252 | 1,289 | $124K |
| 99199 | Unlisted special service, procedure or report | 32% | 17,866 | 10,415 | $108K |
| 99493 | 9.4% | 504 | 233 | $31K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.8% | 269 | 171 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 456 | 242 | $15K |
| 80305 | 3.5% | 1,492 | 798 | $12K | |
| 99406 | 2.5% | 1,039 | 592 | $8K | |
| 81002 | <1% | 2,382 | 1,253 | $3K | |
| 96127 | <1% | 1,351 | 758 | $2K | |
| 99409 | <1% | 38 | 27 | $2K | |
| 99407 | <1% | 119 | 59 | $2K | |
| 99408 | <1% | 42 | 32 | $1K |
20 more codes
| 96118 | <1% | 29 | $1K | |
| 82570 | <1% | 225 | $784.36 | |
| 93922 | <1% | 20 | $770.39 | |
| 95923 | <1% | 20 | $665.60 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $455.86 |
| 95921 | <1% | 20 | $439.28 | |
| 82044 | <1% | 193 | $430.66 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 288 | $408.08 |
| 81007 | <1% | 51 | $96.57 | |
| 3008F | 0% | 306 | $0.00 | |
| 1036F | 0% | 42 | $0.00 | |
| 3074F | 0% | 119 | $0.00 | |
| 82045 | 0% | 30 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 175 | $0.00 |
| 1160F | 0% | 228 | $0.00 | |
| 3725F | 0% | 150 | $0.00 | |
| 99483 | Prolong outpt/office vis | 0% | 70 | $0.00 |
| 1159F | 0% | 34 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 19 | $0.00 |
| 3078F | 0% | 16 | $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 officialGAFFNEY, MARY (CHIEF PHYSICIAN)