Supplier
Michael S Duffy SR DO INC
Michael S Duffy SR DO INC was paid $68K by Medicaid between Jan 2018 and Jul 2022, across 21 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 22% of everything it billed.
33Billing provider infoMICHAEL S DUFFY SR DO INC
SAN DIEGO, CA 92101
SAN DIEGO, CA 92101
33aNPI1316175342assigned 06/29/2009
33bProvider typePortable X-ray and/or Other Portable Diagnostic Imaging Supplier
28Total paid$68K
24GClaims17,891
24DCodes billed21
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in California
Rank by total paid#17 of 36
Median peer was paid$55K
This provider vs. median1.2×
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 | 4,491 | $18K | |
| 2019 | 7,144 | $35K | |
| 2020 | 2,751 | $9K | |
| 2021 | 2,810 | $3K | |
| 2022 | 695 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 22% | 2,279 | 1,528 | $15K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 22% | 2,749 | 1,077 | $15K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 21% | 1,311 | 231 | $14K |
| 96116 | 12% | 4,750 | 2,978 | $8K | |
| 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 | 7.5% | 1,941 | 1,474 | $5K |
| 76881 | 5.9% | 307 | 221 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 1,442 | 979 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.0% | 342 | 235 | $1K |
| 80305 | 1.0% | 1,169 | 808 | $704.62 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 99 | 65 | $580.21 |
| 27096 | <1% | 29 | 12 | $567.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,074 | 231 | $311.13 |
9 more codes
| 93000 | <1% | 15 | $285.84 | |
| 99354 | <1% | 40 | $210.80 | |
| 20611 | <1% | 84 | $134.94 | |
| 97116 | <1% | 75 | $100.80 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 123 | $71.68 |
| 90674 | <1% | 15 | $32.26 | |
| J1020 | Injection, methylprednisolone acetate, 20 mg | <1% | 13 | $24.99 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16 | $15.25 |
| 20553 | <1% | 18 | $13.44 |
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 officialDUFFY, MICHAEL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| County of Winnebago School District 320 | South Beloit, IL | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.