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    OpenPayerNPI Medicare & MedicaidJames Kelly
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    James Kelly — Billing Profile & Reimbursement Data

    NPI 1144289331 · Fort Smith, AR · Surgery of the Hand (Plastic Surgery) Physician

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    James Kelly is a surgery of the hand (plastic surgery) physician provider located in Fort Smith, Arkansas. This profile covers 26 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Kelly
    Address8101 Mcclure Dr Ste 301
    CityFort Smith
    StateAR
    ZIP72916
    TaxonomySurgery of the Hand (Plastic Surgery) Physician
    NPI EnumeratedMarch 17, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$169.8K
    Medicaid$7.7K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    26145The provider surgically removes the synovial membrane from the finger or palm flexor tendon sheath in a procedure called tenosynovectomy. He commonly performs this procedure in patients with finger…140$250$34.8K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.80$280$22.6K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…190$70$13.6K
    26123The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or…20$580$12.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…200$60$11.7K
    25445In this procedure the provider fits an artificial prosthesis replacing the wrist’s trapezium bone, typically in cases of arthritis of the thumb’s base.20$490$10.4K
    26525In this procedure the provider releases the joint contracture by either making an incision into or excising the joint capsule that is between two phalanges of a finger.30$310$8.7K
    25118In this procedure the provider makes an incision to expose the extensor tendon to excise the synovial layer from the extensor tendon sheath. He performs this in a specific limited area of the wrist…50$150$7.7K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$500$7.5K
    26210In this procedure, the provider incises the skin of the affected finger to remove a bone cyst or tumor from the phalanx bone.20$270$4.9K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2614511070$260$20.5K
    2544771020$540$13.9K
    2984811030$330$13.7K
    2612311020$710$12.1K
    2544511020$490$10.3K
    992131,2094,180100$50$9.6K
    2511811050$150$7.6K
    6471861010$370$7.4K
    2652511020$320$6.5K
    2621011020$270$4.9K

    Showing 1–10 of 26

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…200$40$7.6K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arkansas median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…13946080$40$18.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with James Kelly, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ashley TuckerARFamily Nurse Practitioner$55.9K$0
    Catherine NolanAROccupational Therapist$23.1K$0
    Dustin PopeAROccupational Therapist$21.7K$0

    Nearby Providers

    Other providers in the same ZIP code as James Kelly, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Premier Pediatrics PLLCARPediatric Adolescent Medicine Physician$0$2M
    Sandra JohnsonARDermatology Physician$282.7K$17.7K
    Honey SchaumburgARPhysician Assistant$273K$0
    Norma SmithARGynecology Physician$255K$0
    Kalyan AkkineniARInternal Medicine Physician$249K$0
    Adam SchlutermanAROptometrist$105.5K$120.1K
    Steve-felix BelingaARNeurology Physician$223.8K$0
    Brad JohnsonARProcedural Dermatology Physician$195.4K$590
    Joshua ClarkARFamily Medicine Physician$176.4K$0
    Matthew RennerAROptometrist$135K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arkansas Distribution
    James Kelly — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas
    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    James Kelly — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas