Physician
Kelsom Clinic PA
Kelsom Clinic PA was paid $590K by Medicaid between Mar 2018 and Dec 2024, across 68 billing codes. Its largest line is 99091, — 63% of everything it billed.
33Billing provider infoKELSOM CLINIC PA
IRVING, TX 75061
IRVING, TX 75061
33aNPI1104840594assigned 07/27/2006
33bProvider typeFamily Medicine Physician
28Total paid$590K
24GClaims47,867
24DCodes billed68
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#155 of 1,204
Median peer was paid$31K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2018 | 159 | $0.00 | |
| 2019 | 1,711 | $4K | |
| 2020 | 11,721 | $51K | |
| 2021 | 15,738 | $98K | |
| 2022 | 6,742 | $180K | |
| 2023 | 6,401 | $166K | |
| 2024incomplete | 5,395 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99091 | 63% | 2,671 | 2,546 | $372K | |
| 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 | 28% | 4,483 | 3,594 | $164K |
| 99423 | 4.5% | 718 | 307 | $26K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 535 | 459 | $14K |
| 92100 | <1% | 101 | 98 | $5K | |
| 99000 | <1% | 470 | 443 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 79 | 73 | $3K |
| 92551 | <1% | 99 | 96 | $757.44 | |
| 90656 | <1% | 25 | 25 | $144.13 | |
| 96127 | <1% | 153 | 138 | $67.20 | |
| 3044F | <1% | 397 | 343 | $60.00 | |
| 99406 | <1% | 14 | 14 | $22.36 |
56 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,312 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,908 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,688 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 828 | $0.00 |
| 1160F | 0% | 3,975 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 479 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 500 | $0.00 |
| 1159F | 0% | 4,249 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 388 | $0.00 |
| 3078F | 0% | 1,253 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 205 | $0.00 |
| 2022F | 0% | 44 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 148 | $0.00 |
| 4004F | 0% | 186 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 137 | $0.00 |
| 92559 | 0% | 13 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 138 | $0.00 |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 81 | $0.00 |
| G9900 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified | 0% | 15 | $0.00 |
| 4040F | 0% | 12 | $0.00 | |
| 3077F | 0% | 93 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 63 | $0.00 |
| 3288F | 0% | 28 | $0.00 | |
| 99483 | Prolong outpt/office vis | 0% | 15 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 51 | $0.00 |
| 99442 | 0% | 26 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 201 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 990 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 737 | $0.00 |
| 1036F | 0% | 2,830 | $0.00 | |
| 3079F | 0% | 677 | $0.00 | |
| 1125F | 0% | 1,261 | $0.00 | |
| 1126F | 0% | 1,839 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,893 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 925 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,493 | $0.00 |
| 3075F | 0% | 150 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 351 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 12 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 61 | $0.00 |
| 3017F | 0% | 603 | $0.00 | |
| 3074F | 0% | 1,466 | $0.00 | |
| 3048F | 0% | 130 | $0.00 | |
| 1034F | 0% | 38 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 239 | $0.00 |
| 4010F | 0% | 61 | $0.00 | |
| 3014F | 0% | 27 | $0.00 | |
| 3049F | 0% | 15 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 99441 | 0% | 38 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 28 | $0.00 |
| 1123F | 0% | 13 | $0.00 | |
| 3080F | 0% | 19 | $0.00 | |
| 0001F | 0% | 110 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 46 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 19 | $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 officialOKORONKWO, CATHERINE (MD)
Parent organizationKELSOM CLINIC PA