Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Idaho (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Caleb Kelly (NPI 1144678921)

Field	Value
Entity Type	Individual
Organization	Caleb Kelly
Address	1919 Lincoln Way Ste 415
City	Coeur D Alene
State	ID
ZIP	83814
Taxonomy	Gastroenterology Physician
NPI Enumerated	June 2, 2016

Payer Source	Total Paid
Medicare	$72.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	120	$180	$21.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$110	$7K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	80	$90	$6.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	100	$70	$6.6K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	30	$160	$5.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$90	$5.5K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	$170	$5.1K
43255	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.	20	$140	$2.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	30	$70	$2.2K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	20	$110	$1.9K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Caleb Kelly — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	26	80	100	$270	$28.8K
45380	35	90	60	$150	$11.8K
99214	2,128	2,690	90	$70	$10.4K
43239	29	80	80	$100	$9.2K
G0105	16	50	30	$240	$8.4K
99232	609	680	60	$60	$7.3K
99215	215	810	40	$100	$6.5K
G0121	9	60	20	$240	$5.9K
43249	17	20	30	$150	$5.4K
99205	259	310	30	$130	$4.8K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornell Scott Hill Health Corporation	CT	Federally Qualified Health Center (FQHC)	$338.5K	$294.2M
Kootenai Health, Inc.	ID	General Acute Care Hospital	$0	$7M
Kootenai Health, Inc.	ID	Psychiatry Physician	$0	$6.7M
Kootenai County Emergency Medical Services System	ID	Land Ambulance	$1.7M	$3.6M
Kootenai Health, Inc.	ID	Emergency Medicine Physician	$0	$2.6M
Omar Faridi	CT	Ophthalmology Physician	$282.8K	$0
Michele Murphy Cook	ID	Clinical Cardiac Electrophysiology Physician	$270.4K	$0
Nathan Spence	WA	Interventional Cardiology Physician	$263.7K	$0
James Murphy	CT	Ophthalmology Physician	$246.5K	$0
Sauda Bholat	CT	Internal Medicine Physician	$226.1K	$0

Caleb Kelly — Billing Profile & Reimbursement Data

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Caleb Kelly — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References