KELLY FAMILY MEDICINE, PA
NPI: 1922771799
· SWANNANOA, NC 28778
· Family Medicine Physician
· NPI assigned 07/28/2021
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | KELLY, JOHN (PRESIDENT) |
| NPI Enumeration Date | 07/28/2021 |
Related Entities
Other providers sharing the same authorized official: KELLY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
458 |
$7K |
| 2023 |
3,395 |
$31K |
| 2024 |
8,620 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
11,526 |
5,624 |
$63K |
| 99215 |
Prolong outpt/office vis |
330 |
256 |
$36K |
| 99401 |
|
101 |
79 |
$3K |
| 99417 |
Prolong home eval add 15m |
17 |
16 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
59 |
46 |
$108.01 |
| 3074F |
|
234 |
197 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |
| 3078F |
|
180 |
147 |
$0.00 |