Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOHN V. KELLY MD, PC

NPI: 1417065830 · BLOOMFIELD, NJ 07003 · Internal Medicine Physician · NPI assigned 08/27/2006

$1.04M
Total Medicaid Paid
68,446
Total Claims
53,751
Beneficiaries
53
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, JOHN (PRESIDENT)
NPI Enumeration Date08/27/2006

Related Entities

Other providers sharing the same authorized official: KELLY, JOHN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 12,764 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,752 5,757 $279K
99232 Subsequent hospital care, per day, moderate complexity 6,858 1,537 $206K
99223 Prolong inpt eval add15 m 2,232 2,016 $127K
99233 Prolong inpt eval add15 m 3,327 1,671 $113K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,343 2,903 $103K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,712 1,603 $44K
99239 Hospital discharge day management, more than 30 minutes 1,210 1,116 $42K
93000 2,365 2,238 $27K
99401 1,450 1,302 $26K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 267 259 $15K
G0444 Annual depression screening, 5 to 15 minutes 1,779 1,628 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,675 1,492 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 158 155 $8K
99442 529 431 $8K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1,984 1,834 $7K
99490 Ccm add 20min 4,939 4,173 $4K
90674 91 87 $2K
99354 38 38 $2K
81002 2,250 2,110 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,308 1,126 $1K
99252 14 13 $756.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 70 65 $645.81
99222 Initial hospital care, per day, moderate complexity 12 12 $577.72
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 20 20 $490.95
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 19 14 $461.97
99441 42 39 $389.10
G0008 Administration of influenza virus vaccine 60 58 $366.20
90756 12 12 $195.36
99439 184 162 $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) 171 110 $156.44
90661 15 14 $127.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 13 $91.31
99406 13 12 $83.45
3008F 7,009 5,911 $40.00
94760 51 48 $1.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,251 977 $0.00
1036F 1,980 1,825 $0.00
3075F 436 384 $0.00
3074F 2,058 1,568 $0.00
3080F 232 206 $0.00
3079F 859 773 $0.00
3044F 578 511 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 76 58 $0.00
3014F 13 12 $0.00
3078F 1,538 1,232 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 5,549 4,667 $0.00
99072 415 382 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,196 924 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 112 96 $0.00
4004F 63 60 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 47 40 $0.00
3077F 49 39 $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 21 18 $0.00