Kelly, Edward

Kelly, Edward was paid $50K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoKELLY, EDWARD
DOWNINGTOWN, PA 19335

33aNPI1235122300assigned 08/24/2005

33bProvider typeFamily Medicine Physician

28Total paid$50K

24GClaims1,548

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#924 of 2,756

Median peer was paid$19K

This provider vs. median2.6×

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	13	$418.38
2020	40	$1K
2021	355	$11K
2022	425	$14K
2023	391	$13K
2024incomplete	324	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	100%	1,523	1,370	$50K
G0008	Administration of influenza virus vaccine	<1%	12	12	$107.50
90688		0%	13	13	$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.