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 New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York 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. New York (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.

Irene Kelly (NPI 1558357574)

Field	Value
Entity Type	Individual
Organization	Irene Kelly
Address	510 Route 304
City	New City
State	NY
ZIP	10956
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	September 26, 2005

Payer Source	Total Paid
Medicare	$64.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	230	$80	$17K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	350	$50	$16.8K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	300	$50	$15.6K
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…	100	$110	$10.3K
99203	The 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…	10	$100	$1.3K
57160	In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.	20	$70	$1.2K
58100	The provider takes a tissue sample from the lining of the uterus to perform an endometrial biopsy without widening the cervix. The provider may also perform endocervical biopsy.	10	$90	$1.1K
A4562	Pessary, reusable, non rubber, any type	20	$50	$780
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	130	$1	$510

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Irene Kelly — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14,893	30,450	90	$100	$19K
99213	6,711	31,440	80	$70	$12.1K
99203	9,636	11,360	30	$90	$4.7K
Q0091	8	900	30	$50	$2.5K
G0101	9	1,420	30	$40	$2.4K
57160	51	70	30	$70	$2.4K
A4562	30	40	20	$50	$1.6K
58100	30	40	20	$80	$1.2K
96127	118	660	40	$1	$390

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arthur Kozin	NY	Nephrology Physician	$395.4K	$1.1K
Roger Cappucci	NY	Cardiovascular Disease Physician	$389.1K	$1K
Jeannette Yuen	NY	Cardiovascular Disease Physician	$388.6K	$0
Ravi Shah	NY	Hematology & Oncology Physician	$231.1K	$19.9K
Pavela Saha	NJ	Internal Medicine Physician	$187.9K	$1.3K
Yaron Langman	NY	Gastroenterology Physician	$184.6K	$0
Viyada Sarabanchong	NY	Gastroenterology Physician	$165K	$0
Eric Tatar	NY	Gastroenterology Physician	$150.3K	$10.5K
Marianna Golden	NY	Neurology Physician	$114.4K	$2.6K
Ellen Kotwas-song	NY	Neurology Physician	$95.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rockland Independent Living Center, Inc.	NY	In Home Supportive Care Agency	$0	$63.7M
Louis Maisel	NY	Specialist	$865.2K	$1.1M
Scott Sanders	NY	Dermatopathology Physician	$1.3M	$0
Samy Saker	NY	Hospice and Palliative Medicine (Surgery) Physician	$931K	$136.2K
Neville Glajchen	NY	Diagnostic Radiology Physician	$837.5K	$0
Elena Maydan	NY	Dermatology Physician	$655.9K	$0
Seth Benkel	NY	Hematology & Oncology Physician	$562.5K	$71.6K
Yanina Kotlyar	NY	Internal Medicine Physician	$302.4K	$255.7K
Daria Setlik	NY	Diagnostic Radiology Physician	$540.2K	$1.5K
Marc Tarle	NY	Psychiatry Physician	$394.2K	$59K

Irene Kelly — Billing Profile & Reimbursement Data

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Irene 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

Nearby Providers

Frequently Asked Questions

References