Physician

Kevin James Gaffney, M.D.

According to 2025 Medicare claims, Kevin Gaffney, M.D. (NPI: 1194740449) practices dermatology in the Flint, MI market, with the plurality of this provider's patient population coming from Genesee, MI. This provider's primary affiliated billing organization is KEVIN J GAFFNEY MD PC (NPI: 1699940619) and primary practice location at 48532-4185.

Gaffney's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,164 traditional Medicare patients, billed 12,684 HCPCS/CPT codes, and received $626,956 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 9,781 prescription claims across 2,786 beneficiaries totaling $5,106,421 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 3 records totaling $97. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,740,142 to $5,106,421. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	3,006	17,192	$828,726
2016	2,907	18,308	$868,051
2017	2,741	16,411	$728,052
2018	2,361	16,013	$719,467
2019	2,456	15,217	$724,127
2020	2,133	11,838	$580,922
2021	2,307	13,304	$697,455
2022	2,309	13,235	$666,964
2023	2,216	12,599	$637,987
2024	2,164	12,684	$626,956

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	2,275	7,909	$1,740,142
2016	2,347	7,942	$2,110,322
2017	2,182	7,566	$1,944,642
2018	2,429	8,244	$2,420,296
2019	2,456	8,147	$2,273,360
2020	2,258	8,024	$2,476,685
2021	2,454	8,711	$3,318,275
2022	2,474	8,337	$4,035,766
2023	2,622	8,820	$4,300,749
2024	2,786	9,781	$5,106,421

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	953	1,258	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	1,318	2,684	$59
88305	Pathology examination of tissue using a microscope, intermediate complexity	728	1,205	$51
17000	Destruction of precancer skin growth, 1 growth	738	1,091	$36
17003	Destruction of precancer skin growth, 2-14 growths	540	2,947	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Humira(Cf) Pen	Adalimumab	112	3,059	$825,933
Tremfya	Guselkumab	44	2,416	$562,701
Otezla	Apremilast	119	3,568	$556,345
Dupixent Pen	Dupilumab	131	3,584	$477,290
Stelara	Ustekinumab	17	1,482	$385,398

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$97	Janssen Biotech, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Kevin James Gaffney, M.D.?

Tedicare shows public-source Medicare data for Kevin James Gaffney, M.D. (NPI 1194740449), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kevin James Gaffney, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Kevin James Gaffney, M.D.?

Kevin James Gaffney, M.D. is linked to KEVIN J GAFFNEY MD PC (billing NPI 1699940619) in the available physician profile data.

Does Kevin James Gaffney, M.D. have Open Payments data?

Kevin James Gaffney, M.D. has 3 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.