Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kelly, Iain

Kelly, Iain was paid $54K by Medicaid between Dec 2020 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.

33Billing provider infoKELLY, IAIN
KETTERING, OH 45409
33aNPI1366475014assigned 07/08/2006
33bProvider typeOptometrist
28Total paid$54K
24GClaims1,802
24DCodes billed6
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#490 of 1,098
Median peer was paid$41K
This provider vs. median1.3×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
202029$529.00
20211,096$30K
2022183$8K
2023268$9K
2024incomplete226$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37% 467 458 $20K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36% 551 539 $20K
V2020 Frames, purchases 11% 340 338 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 10% 274 273 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 5.5% 158 158 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 12 12 $515.52

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.