PROVIDER PROFILE · NPI 1194726208

Michael Gaffney

Orthopedic SurgeryNatrona Heights, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

564

Unique beneficiaries

—

Total services

1,681

Distinct HCPCS

Medicare payment

$47K

Peer benchmark

Total Medicare services vs. 974 Orthopedic Surgery providers in PA — above median (cohort median 1,699).

PRESCRIBING · PART D · 2024

Total Rx claims

847

Beneficiaries

—

Total drug cost

$4K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Meloxicam283 claims

Amoxicillin131 claims

Mupirocin92 claims

Methylprednisolone67 claims

Oxycodone Hcl49 claims

QUALITY · MIPS · 2024

Final MIPS score

83.8

Quality

70.5

Cost

75.3

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.37%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

Home health agency

Home health agency

Home health agency

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Michael Gaffney's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 13 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Sidhartha Chaudhry Diagnostic Radiology · Pittsburgh, PA	21	56
Patricia Castelli Diagnostic Radiology · Pittsburgh, PA	17	57
Edward Ma Diagnostic Radiology · Pittsburgh, PA	17	44
LACKNER, DAVID	16	35
RAMESH, MAKUM	16	40
COUNIHAN, PETER	13	20
Michael Curren Cardiology · Pittsburgh, PA	12	22

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UPMC ST MARGARET	143	364
Quest Diagnostics Venture Llc Clinical Laboratory · Pittsburgh, PA	51	130
Jeffrey Towers Diagnostic Radiology · Pittsburgh, PA	33	85
Amitesh Prasad Diagnostic Radiology · Pittsburgh, PA	30	93
ALLE-KISKI MEDICAL CENTER	30	84
UPMC ST. MARGARET	21	68
RAMESH, MAKUM	19	51
UPMC MAGEE-WOMENS HOSPITAL	16	36
UPMC PRESBYTERIAN SHADYSIDE	14	32
CORE NETWORK, LLC	13	56
Glen Ha Diagnostic Radiology · Pittsburgh, PA	12	41
LACKNER, DAVID	12	24

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history