Kelly, Sean

Kelly, Sean was paid $33K by Medicaid between Oct 2020 and Nov 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoKELLY, SEAN
WASHINGTON, PA 15301

33aNPI1174592760assigned 03/16/2006

33bProvider typeInternal Medicine Physician

28Total paid$33K

24GClaims1,354

24DCodes billed7

24AFirst – last monthOct 2020 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#421 of 1,726

Median peer was paid$6K

This provider vs. median5.1×

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	13	$132.01
2021	179	$6K
2022	293	$7K
2023	469	$11K
2024incomplete	400	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	63%	550	533	$21K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	235	221	$7K
G0444	Annual depression screening, 5 to 15 minutes	15%	425	403	$5K
90686		<1%	13	12	$132.01
99499		<1%	50	50	$0.01
3078F		0%	53	51	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	28	25	$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.