Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KELSOM CLINIC PA

NPI: 1104840594 · IRVING, TX 75061 · Family Medicine Physician · NPI assigned 07/27/2006

$590K
Total Medicaid Paid
47,867
Total Claims
39,384
Beneficiaries
68
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOKORONKWO, CATHERINE (MD)
Parent OrganizationKELSOM CLINIC PA
NPI Enumeration Date07/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,395 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99091 2,671 2,546 $372K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,483 3,594 $164K
99423 718 307 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 535 459 $14K
92100 101 98 $5K
99000 470 443 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 79 73 $3K
92551 99 96 $757.44
90656 25 25 $144.13
96127 153 138 $67.20
3044F 397 343 $60.00
99406 14 14 $22.36
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,312 1,860 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,908 3,854 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,688 1,417 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 828 678 $0.00
1160F 3,975 3,168 $0.00
G8482 Influenza immunization administered or previously received 479 416 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 500 421 $0.00
1159F 4,249 3,364 $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) 388 329 $0.00
3078F 1,253 1,089 $0.00
G0444 Annual depression screening, 5 to 15 minutes 205 196 $0.00
2022F 44 36 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 148 123 $0.00
4004F 186 146 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 137 120 $0.00
92559 13 13 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 138 122 $0.00
G2102 Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed 81 67 $0.00
G9900 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed, reason not otherwise specified 15 12 $0.00
4040F 12 12 $0.00
3077F 93 75 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 63 52 $0.00
3288F 28 26 $0.00
99483 Prolong outpt/office vis 15 13 $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 51 48 $0.00
99442 26 23 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 201 168 $0.00
G8432 Depression screening not documented, reason not given 990 832 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 737 612 $0.00
1036F 2,830 2,281 $0.00
3079F 677 606 $0.00
1125F 1,261 1,041 $0.00
1126F 1,839 1,550 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,893 1,600 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 925 775 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 1,493 1,226 $0.00
3075F 150 139 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 351 283 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 12 12 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 61 55 $0.00
3017F 603 474 $0.00
3074F 1,466 1,253 $0.00
3048F 130 107 $0.00
1034F 38 27 $0.00
G8542 Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required 239 188 $0.00
4010F 61 55 $0.00
3014F 27 26 $0.00
3049F 15 14 $0.00
G0008 Administration of influenza virus vaccine 15 14 $0.00
99441 38 33 $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) 28 23 $0.00
1123F 13 13 $0.00
3080F 19 17 $0.00
0001F 110 91 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 46 37 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 19 16 $0.00