Downes, Kelsey
Downes, Kelsey was paid $2K by Medicaid between Nov 2020 and Aug 2022, across 2 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 81% of everything it billed.
33Billing provider infoDOWNES, KELSEY
VERONA, PA 15147
VERONA, PA 15147
33aNPI1558706242assigned 05/08/2013
33bProvider typePhysical Therapist
28Total paid$2K
24GClaims113
24DCodes billed2
24AFirst – last monthNov 2020 – Aug 2022
Compared with peers
Next to other Physical Therapist providers in Pennsylvania
Rank by total paid#587 of 774
Median peer was paid$8K
This provider vs. median0.3×
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
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 | |
|---|---|---|---|
| 2020 | 69 | $1K | |
| 2022 | 44 | $620.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 81% | 87 | 29 | $2K |
| 97010 | 19% | 26 | 13 | $394.32 |
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.