Kelsey, James
Kelsey, James was paid $62K by Medicaid between Oct 2018 and Nov 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoKELSEY, JAMES
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
33aNPI1831275502assigned 10/27/2006
33bProvider typeOptometrist
28Total paid$62K
24GClaims3,130
24DCodes billed5
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#653 of 1,899
Median peer was paid$23K
This provider vs. median2.8×
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 | 183 | $4K | |
| 2019 | 250 | $6K | |
| 2020 | 225 | $4K | |
| 2021 | 568 | $11K | |
| 2022 | 740 | $15K | |
| 2023 | 786 | $16K | |
| 2024incomplete | 378 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 38% | 500 | 500 | $24K |
| V2020 | Frames, purchases | 27% | 801 | 801 | $17K |
| 92015 | Determination of refractive state | 14% | 1,141 | 1,141 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 177 | 177 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 511 | 510 | $7K |
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.