Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Marc S Kelly MD PC

Marc S Kelly MD PC was paid $119K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 65% of everything it billed.

33Billing provider infoMARC S KELLY MD PC
COLORADO SPRINGS, CO 80909
33aNPI1255661542assigned 01/08/2010
28Total paid$119K
24GClaims4,807
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Colorado

Rank by total paid#19 of 54
Median peer was paid$61K
This provider vs. median1.9×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018917$17K
2019723$17K
2020674$13K
2021502$14K
2022626$19K
20231,261$37K
2024incomplete104$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99231 Subsequent hospital care, per day, straightforward or low complexity 65% 3,790 608 $77K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 26% 790 335 $31K
99238 Hospital discharge day management, 30 minutes or less 6.1% 186 171 $7K
99222 Initial hospital care, per day, moderate complexity 2.6% 41 36 $3K

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, MARC (PRESIDENT)