Physician
Kelly, Michael
Kelly, Michael was paid $572K by Medicaid between Sep 2020 and Apr 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoKELLY, MICHAEL
HOUSTON, TX 77090
HOUSTON, TX 77090
33aNPI1023124385assigned 08/21/2006
33bProvider typeGynecology Physician
28Total paid$572K
24GClaims19,691
24DCodes billed16
24AFirst – last monthSep 2020 – Apr 2024
Compared with peers
Next to other Gynecology Physician providers in Texas
Rank by total paid#8 of 24
Median peer was paid$205K
This provider vs. median2.8×
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 | 1,037 | $38K | |
| 2021 | 6,090 | $201K | |
| 2022 | 5,695 | $138K | |
| 2023 | 5,380 | $156K | |
| 2024incomplete | 1,489 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 6,980 | 4,433 | $238K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 26% | 255 | 253 | $146K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 8.4% | 831 | 800 | $48K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.4% | 755 | 737 | $36K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.0% | 459 | 434 | $34K |
| 59430 | 4.8% | 313 | 303 | $27K | |
| 81002 | 3.2% | 7,167 | 4,657 | $18K | |
| 81025 | 1.6% | 1,421 | 1,340 | $9K | |
| 87210 | <1% | 1,199 | 1,159 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 55 | 54 | $4K |
| 59025 | Fetal non-stress test | <1% | 99 | 62 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 38 | 38 | $2K |
4 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 72 | $725.47 |
| 90674 | <1% | 17 | $455.82 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $129.73 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 13 | $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.