Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › FORT MOHAVE › WILLIAM R KELLEY MD PROF CORP

WILLIAM R KELLEY MD PROF CORP

NPI: 1780804583 · FORT MOHAVE, AZ 86426 · Diagnostic Radiology Physician · NPI assigned 04/26/2007

$1K
Total Medicaid Paid
184
Total Claims
97
Beneficiaries
3
Codes Billed
2019-05
First Month
2020-04
Last Month

Provider Details

Authorized OfficialKELLEY, WILLIAM (OWNER)
NPI Enumeration Date04/26/2007

Related Entities

Other providers sharing the same authorized official: KELLEY, WILLIAM

ProviderCityStateTotal Paid
RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA PLC FORT MOHAVE AZ $1.50M
PENINSULA INTERNAL MEDICINE PC SOLDOTNA AK $33K
DE QUEEN FAMILY MEDICAL ASSOCIATES PLLC DE QUEEN AR $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 119 $894.76
2020 65 $375.13

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
72114 129 71 $582.61
72148 Magnetic resonance imaging, lumbar spine; without contrast material 28 14 $576.40
72052 27 12 $110.88