Sean J. Mccafferty, MD, PC

Sean J. Mccafferty, MD, PC was paid $11.86M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.

33Billing provider infoSEAN J. MCCAFFERTY, MD, PC
TUCSON, AZ 85741

33aNPI1316146574assigned 07/17/2007

33bProvider typeOphthalmology Physician

28Total paid$11.86M

24GClaims190,454

24DCodes billed29

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Arizona

Rank by total paid#1 of 78

Median peer was paid$44K

This provider vs. median273×

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	16,544	$746K
2019	18,746	$947K
2020	23,819	$1.33M
2021	31,692	$2.00M
2022	39,086	$2.48M
2023	32,677	$2.24M
2024incomplete	27,890	$2.13M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	30%	39,984	37,525	$3.53M
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	25%	23,918	23,191	$3.00M
92060		11%	23,027	22,188	$1.34M
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	6.3%	14,743	13,586	$752K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.1%	12,772	12,273	$724K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	4.6%	2,063	1,706	$546K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.5%	6,034	5,592	$528K
92083		2.5%	8,049	7,545	$299K
92133		2.3%	13,628	12,732	$278K
92250		1.9%	9,170	8,376	$230K
92015	Determination of refractive state	1.2%	9,936	9,510	$142K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.1%	2,544	2,202	$126K

17 more codes

92020		<1%	7,930	$118K
92136		<1%	2,380	$68K
92202		<1%	6,900	$64K
92134		<1%	1,282	$28K
76514		<1%	3,959	$26K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	651	$21K
99205	Prolong outpt/office vis	<1%	107	$10K
99215	Doctor's office visit, returning patient (complex)	<1%	95	$9K
67311		<1%	12	$8K
92225		<1%	365	$4K
92145		<1%	538	$3K
99203	Doctor's office visit, new patient (routine)	<1%	38	$3K
92201		<1%	167	$2K
92285		<1%	100	$2K
68761		<1%	25	$1K
92025		<1%	12	$188.84
99072		0%	25	$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 officialLEVINE, JASON (VICE PRESIDENT)