NP / PA
Kelly-Williams, Georgia
Kelly-Williams, Georgia was paid $86.30 by Medicaid between Dec 2022 and Jan 2023, across 2 billing codes. Its largest line is 90792, Psychiatric diagnostic evaluation with medical services — 100% of everything it billed.
33Billing provider infoKELLY-WILLIAMS, GEORGIA
DEER PARK, NY 11729
DEER PARK, NY 11729
33aNPI1104545037assigned 08/24/2022
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$86.30
24GClaims60
24DCodes billed2
24AFirst – last monthDec 2022 – Jan 2023
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in New York
Rank by total paid#313 of 328
Median peer was paid$7K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 33 | $86.30 | |
| 2023 | 27 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | 100% | 31 | 31 | $86.30 |
| 96130 | 0% | 29 | 29 | $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.