Graff, Daniel

Graff, Daniel was paid $159K by Medicaid between Oct 2018 and Dec 2022, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoGRAFF, DANIEL
SEWICKLEY, PA 15143

33aNPI1295721330assigned 09/23/2005

33bProvider typePediatrics Physician

28Total paid$159K

24GClaims4,147

24DCodes billed24

24AFirst – last monthOct 2018 – Dec 2022

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#386 of 1,257

Median peer was paid$45K

This provider vs. median3.5×

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	13	$269.10
2020	59	$2K
2021	2,536	$97K
2022	1,539	$61K

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	30%	1,027	990	$47K
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	22%	496	491	$35K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	16%	290	282	$25K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	14%	256	253	$23K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	10%	198	190	$17K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.7%	85	83	$8K
90670		<1%	110	108	$968.00
90686		<1%	143	142	$864.00
87428		<1%	14	14	$792.26
90648		<1%	59	57	$408.00
90688		<1%	13	13	$269.10
99188		<1%	13	13	$217.80

12 more codes

96127		<1%	298	$202.40
90680		<1%	28	$168.00
90633		<1%	13	$143.00
90687		<1%	12	$132.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	91	$115.50
92551		<1%	419	$104.00
99173		<1%	176	$58.00
85018		<1%	34	$10.63
96160		0%	220	$0.00
83655		0%	48	$0.00
96161		0%	88	$0.00
90723		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.