Loading...
NPI 1235133281 · Erie, PA · Clinical Cardiac Electrophysiology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Kelly Hayes is a clinical cardiac electrophysiology physician provider located in Erie, Pennsylvania. This profile covers 38 Medicare and 7 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kelly Hayes |
| Address | 120 E 2nd St Fl 2 |
| City | Erie |
| State | PA |
| ZIP | 16507 |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| NPI Enumerated | June 8, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $182.6K |
| Medicaid | $9.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 430 | $80 | $35.5K |
| 93656 | A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart… | 20 | $720 | $14.3K |
| 93793 | The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and… | 1,570 | $10 | $12.6K |
| 33208 | The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle. | 20 | $400 | $9.2K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 150 | $60 | $9.1K |
| 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… | 90 | $100 | $8.5K |
| 33340 | The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography… | 10 | $590 | $8.3K |
| 33249 | The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by… | 10 | $710 | $7.8K |
| 93280 | In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating… | 100 | $60 | $5.8K |
| 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… | 50 | $120 | $5.7K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
38 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93656 | 65 | 110 | 20 | $750 | $19.6K |
| 33249 | 37 | 40 | 20 | $1,010 | $16.2K |
| 99214 | 2,410 | 23,230 | 100 | $80 | $14.5K |
| 33208 | 59 | 120 | 20 | $420 | $11.9K |
| 33340 | 41 | 60 | 20 | $510 | $11.8K |
| 99232 | 3,319 | 10,870 | 80 | $60 | $9.6K |
| 99215 | 3,032 | 7,170 | 40 | $120 | $8.6K |
| 99223 | 3,112 | 7,020 | 40 | $130 | $7.8K |
| 99213 | 10,788 | 22,370 | 70 | $60 | $7.7K |
| G2066 | 58 | 190 | 130 | $30 | $7.1K |
Showing 1–10 of 38
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93227 | In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He… | 150 | $20 | $3.2K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 440 | $10 | $3.1K |
| 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… | 40 | $40 | $1.5K |
| 93296 | The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the… | 60 | $10 | $750 |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 30 | $20 | $450 |
| 93298 | The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for… | 10 | $20 | $250 |
| 93272 | In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can… | 10 | $20 | $240 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 6,405 | 8,160 | 210 | $60 | $68.4K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 468 | 1,290 | 230 | $10 | $17.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 293 | 410 | 100 | $20 | $14.8K |
| 93298 | The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for… | 44 | 50 | 130 | $20 | $11.2K |
| 93227 | In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He… | 15 | 30 | 130 | $30 | $10.3K |
| 93296 | The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the… | 71 | 100 | 200 | $10 | $6.8K |
| 93272 | In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can… | 3 | 10 | 10 | $30 | $870 |
Other providers in the same ZIP code as Kelly Hayes, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gaudenzia Inc | PA | Community/Behavioral Health Agency | $0 | $40M |
| Dr Gertrude A Barber Center Inc | PA | Clinic/Center | $0 | $18.7M |
| Robert Baldwin | PA | Ophthalmology Physician | $2.3M | $145.9K |
| Laboratory Associates Of Erie LLC | PA | Clinical Medical Laboratory | $60.1K | $2.2M |
| Ryan Constantine | PA | Retina Specialist (Ophthalmology) Physician | $2M | $0 |
| David Almeida | PA | Ophthalmology Physician | $1.3M | $520.5K |
| Upmc Hamot Surgery Center, LLC | PA | Ambulatory Surgical Clinic/Center | $871.5K | $719.9K |
| Douglas Babel | PA | Ophthalmology Physician | $742.6K | $63.8K |
| Edward Zimm | PA | Ophthalmology Physician | $422.7K | $380 |
| Ellen Dailey | PA | Obstetrics & Gynecology Physician | $72.4K | $276.7K |
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.