Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Martin, Kelly

Martin, Kelly was paid $59K by Medicaid between Nov 2020 and May 2022, across 5 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 33% of everything it billed.

33Billing provider infoMARTIN, KELLY
CLAIRTON, PA 15025
33aNPI1346390960assigned 01/12/2007
28Total paid$59K
24GClaims1,585
24DCodes billed5
24AFirst – last monthNov 2020 – May 2022
Compared with peers

Next to other Family Nurse Practitioner providers in Pennsylvania

Rank by total paid#206 of 1,075
Median peer was paid$8K
This provider vs. median7.1×

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
2020115$4K
20211,052$39K
2022418$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9088 Services provided in an urgent care center (list in addition to code for service) 33% 735 729 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 346 344 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 20% 349 346 $12K
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 10% 86 84 $6K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.0% 69 68 $5K

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.