Loading...
NPI 1669632881 · Apex, NC · Foot & Ankle Surgery Podiatrist
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Joel Kelly is a foot & ankle surgery podiatrist provider located in Apex, North Carolina. This profile covers 13 Medicare and 2 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 | Joel Kelly |
| Address | 1031 W Williams St |
| City | Apex |
| State | NC |
| ZIP | 27502 |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| NPI Enumerated | June 11, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $126.9K |
| Medicaid | $2.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 1,010 | $60 | $55.4K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 1,050 | $20 | $23.1K |
| 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… | 170 | $60 | $10.2K |
| 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… | 90 | $90 | $8.6K |
| G0127 | Trimming of dystrophic nails, any number | 1,050 | $10 | $8.4K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 50 | $90 | $4.9K |
| 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… | 70 | $70 | $4.8K |
| 99204 | The 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… | 40 | $100 | $3.7K |
| 11057 | The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 50 | $60 | $2.8K |
| 11750 | The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete. | 20 | $100 | $1.8K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 10,168 | 18,060 | 110 | $80 | $15.1K |
| 11057 | 38 | 70 | 50 | $60 | $9.8K |
| 11042 | 228 | 330 | 90 | $60 | $9K |
| 11056 | 2 | 210 | 100 | $50 | $8.4K |
| 11720 | 12 | 160 | 190 | $20 | $7.7K |
| 99213 | 3,742 | 16,320 | 70 | $50 | $7.1K |
| 99204 | 3,648 | 8,430 | 30 | $110 | $4.8K |
| G0127 | 7 | 120 | 180 | $10 | $4.3K |
| 99203 | 987 | 5,450 | 30 | $70 | $3.1K |
| 11750 | 104 | 140 | 30 | $100 | $3.1K |
Showing 1–10 of 13
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.
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 94 | 120 | 520 | $1 | $12.9K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 57 | 70 | 200 | $10 | $5.2K |
Other providers in the same ZIP code as Joel Kelly, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| United Seating And Mobility LLC | NC | Durable Medical Equipment & Medical Supplies | $0 | $11.4M |
| Hopebridge LLC | NC | Community/Behavioral Health Agency | $0 | $8.4M |
| Caring Hands Medical Lab Services LLC | NC | Medical Laboratory Technician | $475.5K | $19K |
| Mehar Srivani Ambati | NC | Cardiovascular Disease Physician | $260K | $0 |
| Scot Reeg | NC | Orthopaedic Surgery Physician | $207.7K | $0 |
| Publix North Carolina LP | NC | Community/Retail Pharmacy | $48.8K | $0 |
| Cynthia Beam | NC | Physician Assistant | $45.3K | $0 |
| Center Street Pharmacy, Inc. | NC | Long Term Care Pharmacy | $16.3K | $1.2K |
| Bryan Carrico | NC | Certified Registered Nurse Anesthetist | $15K | $0 |
| Elana Scheiner | NC | Low Vision Rehabilitation Optometrist | $6.7K | $0 |
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.