Physician
Caruso, Kelly
Caruso, Kelly was paid $391K by Medicaid between Dec 2020 and Dec 2024, across 14 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 30% of everything it billed.
33Billing provider infoCARUSO, KELLY
LOYSVILLE, PA 17047
LOYSVILLE, PA 17047
33aNPI1629017322assigned 06/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$391K
24GClaims10,767
24DCodes billed14
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#181 of 2,756
Median peer was paid$19K
This provider vs. median20×
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 | 17 | $448.00 | |
| 2021 | 664 | $24K | |
| 2022 | 1,725 | $63K | |
| 2023 | 4,152 | $142K | |
| 2024incomplete | 4,209 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 30% | 4,329 | 4,235 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,379 | 2,335 | $83K |
| 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 | 15% | 1,084 | 1,075 | $59K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 926 | 924 | $52K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 7.1% | 289 | 288 | $28K |
| 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 | 6.5% | 268 | 268 | $25K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.3% | 331 | 330 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 201 | 200 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 140 | 135 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 465 | 461 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 95 | 94 | $2K |
| 81003 | <1% | 193 | 191 | $606.79 |
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.