Medicaid Provider Spending

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

KELLY MEDICAL, PC

NPI: 1467495226 · OKLAHOMA CITY, OK 73134 · Addiction Medicine (Family Medicine) Physician · NPI assigned 06/13/2006

$345K
Total Medicaid Paid
13,904
Total Claims
13,188
Beneficiaries
13
Codes Billed
2021-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, STEPHEN (DOCTOR)
NPI Enumeration Date06/13/2006

Related Entities

Other providers sharing the same authorized official: KELLY, STEPHEN

ProviderCityStateTotal Paid
COLORADO WEST ORAL & MAXILLOFACIAL SURGERY PC GRAND JUNCTION CO $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,175 $35K
2022 5,325 $168K
2023 3,198 $96K
2024 4,206 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,113 10,539 $272K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,170 1,091 $63K
98980 593 592 $3K
98977 662 662 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 27 27 $2K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 68 51 $1K
96375 Therapeutic injection; each additional sequential IV push 68 51 $549.93
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 48 43 $277.97
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 23 12 $143.21
98975 66 66 $124.33
J3360 Injection, diazepam, up to 5 mg 36 25 $63.64
96138 15 14 $40.88
96146 15 15 $1.91