Cox, Kelly

Cox, Kelly was paid $655K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 33% of everything it billed.

33Billing provider infoCOX, KELLY
QUINCY, IL 62301

33aNPI1518182906assigned 04/13/2007

33bProvider typeEmergency Medicine Physician

28Total paid$655K

24GClaims12,752

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#70 of 1,980

Median peer was paid$150K

This provider vs. median4.4×

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	2,819	$120K
2019	2,558	$103K
2020	2,728	$122K
2021	2,102	$130K
2022	1,625	$122K
2023	639	$39K
2024incomplete	281	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	33%	2,598	2,357	$214K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	2,373	2,157	$136K
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	18%	2,845	2,401	$119K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	18%	3,441	3,100	$119K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.2%	532	523	$34K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	3.3%	153	133	$22K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	635	546	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	156	135	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	19	19	$778.70

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.