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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Kelley
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    Mark Kelley — Billing Profile & Reimbursement Data

    NPI 1174622500 · Franklin, TN · Integrative Medicine Physician

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    Mark Kelley is a integrative medicine physician provider located in Franklin, Tennessee. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Kelley
    Address840 Crescent Centre Dr Ste 600
    CityFranklin
    StateTN
    ZIP37067
    TaxonomyIntegrative Medicine Physician
    NPI EnumeratedSeptember 22, 2006

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

    Payer SourceTotal Paid
    Medicare$51.5K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99205The provider sees a new 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 provider…50$140$7.2K
    99204The provider sees a new 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 provider…60$110$7.1K
    12034This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 7.6 to 12.5 cm in size.40$190$6.8K
    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…120$50$6.4K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…20$250$5.3K
    38900The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…40$100$4K
    99215The 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…30$120$3.3K
    38510The provider performs an open excision or biopsy of the lymph nodes lying deep in the neck using a scalpel. The provider commonly performs this procedure to identify and diagnose the cause of disease…10$230$3K
    99214The 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…40$80$2.9K
    11603The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the trunk, arms, or legs.20$100$2.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149,16111,370120$80$16.6K
    992151,6332,71040$110$8.3K
    992232,9573,13040$120$8K
    992133,95911,03080$50$8K
    38525224020$290$6.6K
    992041,4475,49030$100$5.3K
    992052431,30020$140$4.9K
    11606101020$200$4.4K
    3851021020$240$3.8K
    1203422020$160$3.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Health Partners Foundation, IncTNInternal Medicine Physician$8.8K$2.7M
    Corinne HinsonTNFamily Nurse Practitioner$492.9K$0
    Magdalena KowalskiGADermatology Physician$437.5K$0
    Tareck KadrieTNNeurology Physician$372.3K$3.8K
    Supriya GuptaILDiagnostic Radiology Physician$199.2K$166K
    Mark HeinsohnTNInternal Medicine Physician$341K$0
    Jeffrey MullinsTNUrology Physician$308.1K$0
    Michael WhitlockARDiagnostic Radiology Physician$290.3K$0
    Alycia CleinmanTNGeriatric Medicine (Internal Medicine) Physician$288.3K$0
    Samuel JonesTNClinical Cardiac Electrophysiology Physician$227.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Connect America, IncTNCommunity/Behavioral Health Agency$0$285.6M
    Capitol City Residential Healthcare Tn LLCTNDevelopmentally Disabled Services Day Training Agency$0$29.4M
    Summit Bhc New Jersey, LLCTNSubstance Abuse Rehabilitation Facility$0$21.9M
    Miller HelpersTNIn Home Supportive Care Agency$0$15.3M
    Results-ast Jv, LLCTNPhysical Therapist$0$6.9M
    Williamson County Hospital DistrictTNGeneral Acute Care Hospital$0$4.8M
    Skin Solutions Dermatology & Skin Cancer Surgery, P.C.TNSpecialist$0$4.4M
    Dr. Mark Lynn & Associates, PLLCTNOptometrist$0$3.2M
    Ambulatory Surgery Center Of Cool Springs LLCTNAmbulatory Surgical Clinic/Center$2.5M$0
    Chase EscottTNRadiation Oncology Physician$1.3M$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. Tennessee Distribution
    Mark Kelley — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee