Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kelley, James

Kelley, James was paid $52K by Medicaid between Mar 2018 and Oct 2022, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 40% of everything it billed.

33Billing provider infoKELLEY, JAMES
DANVILLE, IL 61832
33aNPI1073590592assigned 12/27/2005
33bProvider typeOptometrist
28Total paid$52K
24GClaims2,009
24DCodes billed4
24AFirst – last monthMar 2018 – Oct 2022
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#547 of 1,069
Median peer was paid$56K
This provider vs. median0.9×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201849$1K
2019497$13K
2020670$18K
2021523$14K
2022270$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 40% 1,169 1,060 $21K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 39% 471 414 $20K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20% 336 303 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 1.9% 33 30 $970.29

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.