Physician
John V. Kelly MD, PC
John V. Kelly MD, PC was paid $1.04M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoJOHN V. KELLY MD, PC
BLOOMFIELD, NJ 07003
BLOOMFIELD, NJ 07003
33aNPI1417065830assigned 08/27/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.04M
24GClaims68,446
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#62 of 1,027
Median peer was paid$30K
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
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 | 4,764 | $95K | |
| 2019 | 4,672 | $82K | |
| 2020 | 6,588 | $129K | |
| 2021 | 10,779 | $164K | |
| 2022 | 14,265 | $199K | |
| 2023 | 14,614 | $223K | |
| 2024incomplete | 12,764 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 27% | 6,752 | 5,757 | $279K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 6,858 | 1,537 | $206K |
| 99223 | Prolong inpt eval add15 m | 12% | 2,232 | 2,016 | $127K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 3,327 | 1,671 | $113K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 3,343 | 2,903 | $103K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 1,712 | 1,603 | $44K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.0% | 1,210 | 1,116 | $42K |
| 93000 | 2.6% | 2,365 | 2,238 | $27K | |
| 99401 | 2.5% | 1,450 | 1,302 | $26K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 267 | 259 | $15K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,779 | 1,628 | $10K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,675 | 1,492 | $9K |
41 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 158 | $8K |
| 99442 | <1% | 529 | $8K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,984 | $7K |
| 99490 | Ccm add 20min | <1% | 4,939 | $4K |
| 90674 | <1% | 91 | $2K | |
| 99354 | <1% | 38 | $2K | |
| 81002 | <1% | 2,250 | $1K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,308 | $1K |
| 99252 | <1% | 14 | $756.64 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 70 | $645.81 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $577.72 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $490.95 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 19 | $461.97 |
| 99441 | <1% | 42 | $389.10 | |
| G0008 | Administration of influenza virus vaccine | <1% | 60 | $366.20 |
| 90756 | <1% | 12 | $195.36 | |
| 99439 | <1% | 184 | $195.10 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 171 | $156.44 |
| 90661 | <1% | 15 | $127.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 14 | $91.31 |
| 99406 | <1% | 13 | $83.45 | |
| 3008F | <1% | 7,009 | $40.00 | |
| 94760 | <1% | 51 | $1.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,251 | $0.00 |
| 1036F | 0% | 1,980 | $0.00 | |
| 3075F | 0% | 436 | $0.00 | |
| 3074F | 0% | 2,058 | $0.00 | |
| 3080F | 0% | 232 | $0.00 | |
| 3079F | 0% | 859 | $0.00 | |
| 3044F | 0% | 578 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 76 | $0.00 |
| 3014F | 0% | 13 | $0.00 | |
| 3078F | 0% | 1,538 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,549 | $0.00 |
| 99072 | 0% | 415 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,196 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 112 | $0.00 |
| 4004F | 0% | 63 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 47 | $0.00 |
| 3077F | 0% | 49 | $0.00 | |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 21 | $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, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| John P Kelly MD a Professional Medical Corporation | Los Angeles, CA | $11.13M |
| Completecare Private Services, LLC | Mcalester, OK | $4.50M |
| A Path of Care Home Health I, INC. | Ada, OK | $3.35M |
| YMCA of the Jersey Shore | Matawan, NJ | $2.70M |
| Kelly Family Medicine, PA | Swannanoa, NC | $106K |
| Aspire2health PA | Swannanoa, NC | $105K |
| Abington Memorial Hospital | Huntingdon Valley, PA | $6K |
| Abington Memorial Hospital | Warminster, PA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.