Kelly, James

Kelly, James was paid $106K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 68761, — 27% of everything it billed.

33Billing provider infoKELLY, JAMES
NEW YORK, NY 10022

33aNPI1659361848assigned 10/27/2005

33bProvider typeOphthalmology Physician

28Total paid$106K

24GClaims2,473

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#382 of 1,085

Median peer was paid$34K

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	135	$5K
2019	152	$8K
2020	395	$21K
2021	304	$13K
2022	469	$17K
2023	684	$27K
2024incomplete	334	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
68761		27%	357	178	$29K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	23%	301	299	$25K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	19%	348	311	$20K
92015	Determination of refractive state	13%	800	797	$14K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	11%	102	102	$11K
83861		5.1%	476	241	$5K
92250		<1%	39	38	$939.39
A4262	Temporary, absorbable lacrimal duct implant, each	0%	50	50	$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.