Medicaid Provider Spending

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

JAMES E. KELLY M.D. LLC

NPI: 1235413790 · SAINT LOUIS, MO 63109 · Urology Physician · NPI assigned 10/03/2011

$413K
Total Medicaid Paid
12,974
Total Claims
11,489
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLY, JAMES (OWNER)
NPI Enumeration Date10/03/2011

Related Entities

Other providers sharing the same authorized official: KELLY, JAMES

ProviderCityStateTotal Paid
BY THE BAY HEALTH LARKSPUR CA $24.13M
BY THE BAY HEALTH SAN FRANCISCO CA $2.36M
INCARE HOME CARE, LLC LARKSPUR CA $98K
CARING CORPORATION INC TROY AL $20K
WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER FORT SMITH AR $12K
DR JAMES R KELLY M D P C NEW YORK NY $6K
RADNOR FIRE COMPANY OF WAYNE WAYNE PA $3K
INCARE HOME CARE, LLC SONOMA CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,905 $49K
2019 1,724 $47K
2020 1,166 $34K
2021 1,357 $36K
2022 1,719 $60K
2023 2,536 $95K
2024 2,567 $93K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 9,250 8,586 $310K
99349 1,931 1,562 $54K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 970 925 $27K
99232 Subsequent hospital care, per day, moderate complexity 471 128 $9K
51705 284 223 $8K
99306 Prolong nursin fac eval 15m 16 15 $2K
99310 Prolong nursin fac eval 15m 27 25 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $687.50