KENNETH MCGAFFIN, MD
Cardiovascular Disease Physician · MONROEVILLE, PA
Individual Active NPI 1750481800
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 973 | 2,905 | $614,311 | $200,570 | $149,311 |
| 2023 | 973 | 2,817 | $509,052 | $197,546 | $145,663 |
| 2022 | 1,218 | 3,718 | $508,895 | $251,327 | $189,482 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 544 | $8 | $6 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 535 | $14 | $10 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 484 | $124 | $87 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 218 | $77 | $61 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 182 | $66 | $48 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 151 | $110 | $87 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 139 | $184 | $130 |
| J2785 | Injection, regadenoson, 0.1 mg | 88 | $7 | $5 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 56 | $176 | $133 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 53 | $169 | $135 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 42 | $14 | $11 |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 41 | $61 | $49 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ✓ | MD419469 | PA |
| Internal Medicine Physician | 207R00000X | MD419469 | PA | |
| Pulmonary Disease Physician | 207RP1001X | MD419469 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.