Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › WICHITA FALLS › PHILLIP W. KELLY, MD, PA

PHILLIP W. KELLY, MD, PA

NPI: 1003909532 · WICHITA FALLS, TX 76301 · Specialist · NPI assigned 10/02/2006

$6K
Total Medicaid Paid
214
Total Claims
214
Beneficiaries
3
Codes Billed
2018-02
First Month
2021-10
Last Month

Provider Details

Authorized OfficialKELLY, PHILLIP (PRESIDENT)
NPI Enumeration Date10/02/2006

Related Entities

Other providers sharing the same authorized official: KELLY, PHILLIP

ProviderCityStateTotal Paid
TEXOMA OUTPATIENT SURGERY CENTER, INC. WICHITA FALLS TX $651.72

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 74 $2K
2019 76 $1K
2020 12 $401.64
2021 52 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 164 164 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37 37 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13 13 $209.53