Physician
DR James R Kelly M D P C
DR James R Kelly M D P C was paid $6K by Medicaid between Jul 2020 and May 2023, across 4 billing codes. Its largest line is 68761, — 46% of everything it billed.
33Billing provider infoDR JAMES R KELLY M D P C
NEW YORK, NY 10022
NEW YORK, NY 10022
33aNPI1013103860assigned 09/14/2007
33bProvider typeOphthalmology Physician
28Total paid$6K
24GClaims138
24DCodes billed4
24AFirst – last monthJul 2020 – May 2023
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#775 of 1,085
Median peer was paid$34K
This provider vs. median0.2×
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 | 17 | $0.00 | |
| 2021 | 30 | $1K | |
| 2022 | 54 | $3K | |
| 2023 | 37 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 68761 | 46% | 26 | 13 | $3K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 13 | 13 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 13 | 13 | $1K |
| 92015 | Determination of refractive state | 0% | 86 | 85 | $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.
From NPPES
Who's on the registration
Authorized officialKELLY, JAMES (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| By the Bay Health | Larkspur, CA | $24.13M |
| By the Bay Health | San Francisco, CA | $2.36M |
| James E. Kelly M.D. LLC | Saint Louis, MO | $413K |
| Incare Home Care, LLC | Larkspur, CA | $98K |
| Caring Corporation INC | Troy, AL | $20K |
| Western Arkansas Plastic & Reconstructive Surgery Center | Fort Smith, AR | $12K |
| Radnor Fire Company of Wayne | Wayne, PA | $3K |
| Incare Home Care, LLC | Sonoma, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.