Physician
James E. Kelly M.D. LLC
James E. Kelly M.D. LLC was paid $413K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 75% of everything it billed.
33Billing provider infoJAMES E. KELLY M.D. LLC
SAINT LOUIS, MO 63109
SAINT LOUIS, MO 63109
33aNPI1235413790assigned 10/03/2011
33bProvider typeUrology Physician
28Total paid$413K
24GClaims12,974
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in Missouri
Rank by total paid#1 of 26
Median peer was paid$3K
This provider vs. median144×
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 | 1,905 | $49K | |
| 2019 | 1,724 | $47K | |
| 2020 | 1,166 | $34K | |
| 2021 | 1,357 | $36K | |
| 2022 | 1,719 | $60K | |
| 2023 | 2,536 | $95K | |
| 2024incomplete | 2,567 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 75% | 9,250 | 8,586 | $310K |
| 99349 | 13% | 1,931 | 1,562 | $54K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 970 | 925 | $27K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 471 | 128 | $9K |
| 51705 | 2.0% | 284 | 223 | $8K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 16 | 15 | $2K |
| 99310 | Prolong nursin fac eval 15m | <1% | 27 | 25 | $2K |
| 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 | <1% | 12 | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $687.50 |
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.
From NPPES
Who's on the registration
Authorized officialKELLY, JAMES (OWNER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.