Medicaid Provider Spending

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

RUSSELL S KELLY MD LLC

NPI: 1598810814 · EWA BEACH, HI 96706 · Primary Care Clinic/Center · NPI assigned 01/25/2007

$102K
Total Medicaid Paid
15,100
Total Claims
12,855
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKELLY, RUSSELL (PHYSICIAN)
NPI Enumeration Date01/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,440 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 1,192 1,047 $48K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,508 1,265 $40K
99401 124 111 $3K
99422 443 354 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 175 145 $2K
99072 576 492 $2K
99497 58 47 $925.05
1160F 2,334 1,958 $696.98
96127 451 408 $460.47
G9903 Patient screened for tobacco use and identified as a tobacco non-user 434 368 $436.28
1159F 1,923 1,597 $322.12
99442 13 12 $314.05
G9275 Documentation that patient is a current non-tobacco user 138 119 $188.96
1100F 46 45 $185.32
3725F 632 554 $185.08
G8510 Screening for depression is documented as negative, a follow-up plan is not required 424 359 $159.46
1170F 637 559 $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 12 12 $45.55
99423 15 14 $28.32
G0444 Annual depression screening, 5 to 15 minutes 39 36 $18.60
3078F 419 364 $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) 23 13 $0.00
3077F 73 63 $0.00
1124F 27 21 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 17 14 $0.00
3008F 2,543 2,150 $0.00
1036F 169 149 $0.00
3074F 253 221 $0.00
1125F 175 153 $0.00
1126F 169 151 $0.00
3079F 30 27 $0.00
4037F 28 27 $0.00