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 South Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Andrew Kelts (NPI 1669890448)

Field	Value
Entity Type	Individual
Organization	Andrew Kelts
Address	2820 Mount Rushmore Rd
City	Rapid City
State	SD
ZIP	57701
Taxonomy	Gastroenterology Physician
NPI Enumerated	March 31, 2014

Payer Source	Total Paid
Medicare	$102.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 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…	240	$200	$47K
46221	In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…	60	$210	$12.7K
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.	180	$50	$8.8K
43248	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…	70	$100	$6.3K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	30	$160	$4.4K
43251	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare…	30	$140	$4.4K
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…	90	$50	$4.3K
45390	The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.	10	$260	$3.1K
43264	The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…	30	$120	$3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	10	$190	$2.4K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Andrew Kelts — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	4	60	50	$250	$21.9K
43251	3	10	60	$340	$21K
43248	2	10	60	$160	$12.2K
74177	79	80	90	$70	$10K
45380	18	60	40	$140	$9.9K
45390	4	10	20	$480	$9.6K
G0105	16	40	20	$220	$7.5K
43239	8	70	50	$90	$7.2K
46221	1	10	40	$190	$6.9K
45378	23	30	20	$170	$6.5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rapid City Medical Center, LLP	SD	Multi-Specialty Clinic/Center	$0	$4.5M
Jennifer May	SD	Internal Medicine Physician	$1.9M	$0
Black Hills Orthopedic & Spine Center, Inc.	SD	Multi-Specialty Clinic/Center	$0	$1.7M
Luke Hushagen	SD	Internal Medicine Physician	$1.4M	$0
Rebecca Linquist	SD	Ophthalmology Physician	$904.5K	$0
Gregory Wittenberg	SD	Dermatology Physician	$816K	$0
Black Hills Surgical Hospital, LLC	SD	Urgent Care Clinic/Center	$0	$698.5K
Robert Sage	SD	Dermatology Physician	$619.3K	$0
Bradley Clark	MO	Diagnostic Radiology Physician	$570.8K	$0
Tyler Ptacek	SD	Interventional Pain Medicine Physician	$507.9K	$0

Andrew Kelts — Billing Profile & Reimbursement Data

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Andrew Kelts — 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