Kelly, Charles
Kelly, Charles was paid $516K by Medicaid between Jan 2018 and Dec 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoKELLY, CHARLES
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1780678979assigned 09/02/2005
33bProvider typeSpecialist
28Total paid$516K
24GClaims6,434
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#49 of 252
Median peer was paid$57K
This provider vs. median9.1×
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 | 1,088 | $72K | |
| 2019 | 1,083 | $82K | |
| 2020 | 1,252 | $98K | |
| 2021 | 1,359 | $127K | |
| 2022 | 762 | $66K | |
| 2023 | 890 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 65% | 4,927 | 4,636 | $336K |
| 99205 | Prolong outpt/office vis | 17% | 647 | 646 | $86K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.1% | 322 | 321 | $47K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 5.2% | 91 | 91 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 435 | 423 | $19K |
| 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 | <1% | 12 | 12 | $1K |
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.