Physician
Duffy, Cheryl
Duffy, Cheryl was paid $1.47M by Medicaid between Feb 2020 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoDUFFY, CHERYL
HERMITAGE, PA 16148
HERMITAGE, PA 16148
33aNPI1750388898assigned 07/05/2005
33bProvider typePediatrics Physician
28Total paid$1.47M
24GClaims39,696
24DCodes billed46
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#66 of 1,257
Median peer was paid$45K
This provider vs. median32×
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 | |
|---|---|---|---|
| 2020 | 693 | $29K | |
| 2021 | 8,480 | $350K | |
| 2022 | 9,157 | $352K | |
| 2023 | 9,683 | $350K | |
| 2024incomplete | 11,683 | $391K |
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% | 6,981 | 6,279 | $538K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 4,095 | 3,750 | $201K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 1,829 | 1,828 | $164K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,811 | 1,809 | $163K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 1,492 | 1,472 | $125K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 1,085 | 1,084 | $98K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.5% | 920 | 668 | $96K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.9% | 741 | 735 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 1,592 | 1,548 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,280 | 637 | $16K |
| 90686 | <1% | 892 | 878 | $3K | |
| 90648 | <1% | 1,004 | 996 | $3K |
34 more codes
| 90670 | <1% | 680 | $2K | |
| 92551 | <1% | 2,398 | $2K | |
| 90723 | <1% | 710 | $2K | |
| 90680 | <1% | 600 | $1K | |
| 90633 | <1% | 399 | $1K | |
| 87807 | <1% | 89 | $1K | |
| 99173 | <1% | 1,422 | $1K | |
| 0071A | <1% | 17 | $748.00 | |
| 0072A | <1% | 15 | $660.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,601 | $638.95 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $466.85 |
| 99051 | <1% | 16 | $448.00 | |
| 81002 | <1% | 122 | $408.09 | |
| 96127 | <1% | 1,501 | $344.08 | |
| 99177 | <1% | 589 | $315.85 | |
| 90651 | <1% | 266 | $308.00 | |
| 96160 | <1% | 1,501 | $282.42 | |
| 90710 | <1% | 24 | $254.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $185.63 |
| 90734 | <1% | 12 | $144.00 | |
| 85018 | <1% | 394 | $132.48 | |
| 80061 | Lipid panel | <1% | 98 | $108.90 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 58 | $1.32 |
| 90677 | 0% | 316 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $0.00 |
| 96161 | 0% | 1,191 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 430 | $0.00 |
| 90656 | 0% | 177 | $0.00 | |
| 90619 | 0% | 112 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 946 | $0.00 |
| 83655 | 0% | 190 | $0.00 | |
| 90661 | 0% | 18 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90715 | 0% | 29 | $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.