Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mckelvey, James

Mckelvey, James was paid $5K by Medicaid between Mar 2021 and Jun 2024, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 29% of everything it billed.

33Billing provider infoMCKELVEY, JAMES
AMHERST, NY 14226
33aNPI1578525721assigned 04/04/2006
33bProvider typeOptometrist
28Total paid$5K
24GClaims162
24DCodes billed5
24AFirst – last monthMar 2021 – Jun 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#1,149 of 1,605
Median peer was paid$29K
This provider vs. median0.2×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
202132$817.87
202288$3K
202313$390.00
2024incomplete29$780.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 29% 47 40 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 24% 40 40 $1K
S0620 Routine ophthalmological examination including refraction; new patient 19% 29 26 $870.00
V2020 Frames, purchases 18% 33 32 $851.77
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9.8% 13 13 $455.00

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.