Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kelly, John

Kelly, John was paid $5.27M by Medicaid between Jan 2018 and Dec 2020, across 48 billing codes. Its largest line is 99205, Prolong outpt/office vis — 24% of everything it billed.

33Billing provider infoKELLY, JOHN
LOS ANGELES, CA 90025
33aNPI1699703959assigned 06/28/2006
28Total paid$5.27M
24GClaims75,286
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers

Next to other Orthopaedic Surgery Physician providers in California

Rank by total paid#8 of 292
Median peer was paid$24K
This provider vs. median223×

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$200K$400K$600K2018201920202021202220232024
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
201820,536$752K
201926,596$1.05M
202028,154$3.47M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 24% 3,503 3,387 $1.24M
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 17% 16,121 11,868 $889K
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 16% 9,332 7,491 $817K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 13% 3,900 3,568 $675K
20610 5.6% 4,053 3,593 $293K
73564 3.0% 2,709 2,660 $156K
29075 2.5% 1,557 672 $133K
72110 2.0% 1,502 1,472 $106K
73130 1.9% 2,439 2,226 $101K
73110 1.7% 2,265 1,988 $91K
73030 1.4% 1,858 1,784 $74K
73610 1.4% 1,892 1,715 $73K
36 more codes
73630 1.2% 1,674 $65K
J1030 Injection, methylprednisolone acetate, 40 mg 1.1% 6,699 $59K
72050 1.1% 946 $58K
29125 1.1% 1,030 $56K
73502 <1% 635 $37K
20611 <1% 603 $36K
A4550 Surgical trays <1% 92 $36K
73080 <1% 772 $31K
29425 <1% 237 $26K
73562 <1% 820 $23K
29515 <1% 311 $19K
20550 <1% 370 $19K
99213 Doctor's office visit, returning patient (routine) <1% 1,341 $18K
99244 Office or other outpatient consultation, moderate to high complexity <1% 255 $17K
29876 <1% 24 $17K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 5,949 $15K
72170 <1% 552 $14K
99422 <1% 115 $14K
99423 <1% 61 $14K
99203 Doctor's office visit, new patient (routine) <1% 199 $8K
20551 <1% 103 $7K
76000 <1% 79 $6K
99421 <1% 64 $5K
72074 <1% 52 $5K
73590 <1% 111 $4K
20605 <1% 83 $3K
99245 <1% 48 $3K
A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard <1% 524 $3K
73000 <1% 42 $3K
73140 <1% 61 $2K
73565 <1% 46 $1K
73090 <1% 14 $575.24
A4590 Special casting material (e.g., fiberglass) <1% 30 $400.00
99243 <1% 13 $267.75
72080 <1% 16 $218.87
99024 0% 184 $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.