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

Kelly and Velazquez Eye Center PC

Kelly and Velazquez Eye Center PC was paid $617K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.

33Billing provider infoKELLY AND VELAZQUEZ EYE CENTER PC
PALMER, MA 01069
33aNPI1306847462assigned 08/10/2005
33bProvider typeOphthalmology Physician
28Total paid$617K
24GClaims36,230
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#16 of 203
Median peer was paid$18K
This provider vs. median35×

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$5.0K$10K$15K2018201920202021202220232024
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
20184,742$62K
20194,811$68K
20204,398$65K
20215,112$104K
20225,660$105K
20235,961$96K
2024incomplete5,546$118K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 42% 5,418 5,372 $256K
92340 Fitting of spectacles, except for aphakia; monofocal 18% 3,875 3,465 $111K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17% 1,533 1,525 $102K
92015 Determination of refractive state 11% 5,213 5,179 $66K
92341 7.8% 1,365 1,358 $48K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.2% 897 844 $26K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 95 95 $3K
V2020 Frames, purchases <1% 30 29 $3K
92136 <1% 30 26 $659.27
92370 <1% 38 38 $425.22
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 4,406 4,252 $62.54
2022F 0% 575 557 $0.00
9 more codes
G8484 Influenza immunization was not administered, reason not given 0% 2,185 $0.00
4040F 0% 4,394 $0.00
G8482 Influenza immunization administered or previously received 0% 1,343 $0.00
5010F 0% 576 $0.00
2027F 0% 52 $0.00
4004F 0% 13 $0.00
1036F 0% 3,563 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 0% 577 $0.00
3284F 0% 52 $0.00

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, PETER (PRESIDENT)