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NPI 1851371108 · Springfield, MA · Orthopaedic Surgery Physician
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Stephen Kelly is a orthopaedic surgery physician provider located in Springfield, Massachusetts. This profile covers 20 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 | Stephen Kelly |
| Address | 300 Birnie Ave |
| City | Springfield |
| State | MA |
| ZIP | 01107 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | January 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $379.3K |
| Medicaid | $110.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 180 | $1,010 | $178.9K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 90 | $1,000 | $91.9K |
| 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… | 300 | $90 | $28.1K |
| 73564 | In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 540 | $40 | $20.9K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 500 | $30 | $14.9K |
| 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… | 160 | $60 | $10.3K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 330 | $30 | $9.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 200 | $40 | $8K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 150 | $20 | $3.3K |
| 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… | 20 | $120 | $2.7K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 2 | 280 | 30 | $810 | $35.7K |
| 27130 | 9 | 190 | 30 | $880 | $33.3K |
| 99214 | 2,854 | 15,410 | 110 | $80 | $15.6K |
| 99215 | 4,612 | 6,360 | 40 | $120 | $8.9K |
| 99213 | 3,471 | 13,700 | 70 | $60 | $8.8K |
| 20610 | 510 | 980 | 60 | $50 | $5.8K |
| 99204 | 4,189 | 5,870 | 30 | $120 | $5.6K |
| 99203 | 3,214 | 4,290 | 30 | $80 | $4.1K |
| 99212 | 140 | 2,660 | 30 | $40 | $2.4K |
| 73564 | 7 | 530 | 50 | $20 | $2K |
Showing 1–10 of 20
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 |
|---|---|---|---|---|
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 860 | $60 | $52.3K |
| 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… | 770 | $60 | $44K |
| 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… | 70 | $80 | $5.6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 540 | $10 | $4.3K |
| 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… | 20 | $80 | $2K |
| 73564 | In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 50 | $30 | $1.6K |
| 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… | 10 | $130 | $1.5K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts 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… | 3,401 | 5,040 | 200 | $70 | $209.5K |
| 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… | 1,633 | 5,300 | 230 | $60 | $164.5K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 49 | 150 | 310 | $80 | $118.8K |
| 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… | 797 | 870 | 90 | $100 | $82K |
| 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… | 766 | 990 | 100 | $80 | $75.6K |
| 73564 | In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 91 | 110 | 320 | $20 | $28.8K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 45 | 130 | 270 | $1 | $4.4K |
Other providers in the same ZIP code as Stephen Kelly, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Center For Human Development, Inc. | MA | Community/Behavioral Health Agency | $0 | $97.1M |
| Viecare Corp | MA | Foster Care Agency | $0 | $35.5M |
| Andventure, LLC | MA | Home Health Agency | $0 | $14.6M |
| Baystate Mri & Imaging Center, LLC | MA | Magnetic Resonance Imaging (MRI) Clinic/Center | $2.6M | $6.7M |
| Radiology & Imaging, Inc. | MA | Diagnostic Radiology Physician | $0 | $5.8M |
| David Lally | MA | Ophthalmology Physician | $3.2M | $670 |
| Rebecca Soares | MA | Retina Specialist (Ophthalmology) Physician | $3M | $9.1K |
| Shilpa Gulati | MA | Ophthalmology Physician | $2.4M | $0 |
| Andrew Lam | MA | Ophthalmology Physician | $1.4M | $0 |
| Hari Mylvaganam | MA | Ophthalmology Physician | $1.3M | $5.1K |
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