Physician
Kelliher, Elinor
Kelliher, Elinor was paid $101K by Medicaid between Jan 2018 and Mar 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoKELLIHER, ELINOR
WEST SPRINGFIELD, MA 01089
WEST SPRINGFIELD, MA 01089
33aNPI1750378139assigned 09/30/2005
33bProvider typePediatrics Physician
28Total paid$101K
24GClaims3,174
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#402 of 1,273
Median peer was paid$24K
This provider vs. median4.2×
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 | 403 | $15K | |
| 2019 | 772 | $27K | |
| 2020 | 697 | $18K | |
| 2021 | 516 | $12K | |
| 2022 | 567 | $21K | |
| 2023 | 219 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 762 | 747 | $44K |
| 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 | 20% | 219 | 210 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 17% | 425 | 410 | $17K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 7.8% | 867 | 866 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.8% | 554 | 552 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 16 | 16 | $1K |
| 99051 | <1% | 58 | 57 | $960.48 | |
| 96127 | <1% | 88 | 86 | $955.11 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 30 | 29 | $703.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 31 | 31 | $633.95 |
| 90461 | <1% | 12 | 12 | $373.92 | |
| 85018 | <1% | 63 | 63 | $136.08 |
1 more codes
| 99000 | <1% | 49 | $59.00 |
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.