Russell S Kelly MD LLC

Russell S Kelly MD LLC was paid $102K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 47% of everything it billed.

33Billing provider infoRUSSELL S KELLY MD LLC
EWA BEACH, HI 96706

33aNPI1598810814assigned 01/25/2007

33bProvider typePrimary Care Clinic/Center

28Total paid$102K

24GClaims15,100

24DCodes billed32

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Hawaii

Rank by total paid#11 of 37

Median peer was paid$33K

This provider vs. median3.1×

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	1,949	$22K
2019	2,873	$22K
2020	1,557	$14K
2021	2,731	$12K
2022	2,685	$11K
2023	1,865	$11K
2024incomplete	1,440	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	47%	1,192	1,047	$48K
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	39%	1,508	1,265	$40K
99401		3.3%	124	111	$3K
99422		2.5%	443	354	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	175	145	$2K
99072		1.6%	576	492	$2K
99497		<1%	58	47	$925.05
1160F		<1%	2,334	1,958	$696.98
96127		<1%	451	408	$460.47
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	434	368	$436.28
1159F		<1%	1,923	1,597	$322.12
99442		<1%	13	12	$314.05

20 more codes

G9275	Documentation that patient is a current non-tobacco user	<1%	138	$188.96
1100F		<1%	46	$185.32
3725F		<1%	632	$185.08
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	424	$159.46
1170F		<1%	637	$159.35
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	12	$45.55
99423		<1%	15	$28.32
G0444	Annual depression screening, 5 to 15 minutes	<1%	39	$18.60
3078F		0%	419	$0.00
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)	0%	23	$0.00
3077F		0%	73	$0.00
1124F		0%	27	$0.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	0%	17	$0.00
3008F		0%	2,543	$0.00
1036F		0%	169	$0.00
3074F		0%	253	$0.00
1125F		0%	175	$0.00
1126F		0%	169	$0.00
3079F		0%	30	$0.00
4037F		0%	28	$0.00

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.

From NPPES

Who's on the registration

Authorized officialKELLY, RUSSELL (PHYSICIAN)