Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kelly, Carl

Kelly, Carl was paid $624K by Medicaid between Jan 2018 and Sep 2023, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 72% of everything it billed.

33Billing provider infoKELLY, CARL
BOSSIER CITY, LA 71111
33aNPI1235256819assigned 03/26/2007
33bProvider typeOptometrist
28Total paid$624K
24GClaims16,011
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers

Next to other Optometrist providers in Louisiana

Rank by total paid#87 of 442
Median peer was paid$199K
This provider vs. median3.1×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20181,837$91K
20192,315$114K
20203,733$151K
20213,666$158K
20221,930$72K
20232,530$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 72% 5,833 5,239 $450K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 2,254 1,882 $135K
92015 Determination of refractive state 5.1% 7,623 6,581 $32K
92083 1.0% 168 168 $6K
92250 <1% 121 121 $680.00
92225 <1% 12 12 $31.02

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.