Gorman, Kelly

Gorman, Kelly was paid $76K by Medicaid between Jan 2018 and Jun 2020, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.

33Billing provider infoGORMAN, KELLY
JOPLIN, MO 64804

33aNPI1285893891assigned 06/09/2008

33bProvider typePediatrics Physician

28Total paid$76K

24GClaims2,648

24DCodes billed11

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#357 of 992

Median peer was paid$40K

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

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	1,095	$33K
2019	1,043	$28K
2020	510	$15K

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	38%	749	704	$29K
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	23%	300	290	$17K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	20%	485	428	$15K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.8%	188	183	$6K
90686		3.6%	514	512	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.9%	63	62	$2K
90723		2.2%	63	63	$2K
90670		1.3%	184	178	$952.30
90647		<1%	51	51	$272.85
90680		<1%	39	39	$208.65
90651		<1%	12	12	$64.20

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.