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

Why is the Medicaid comparison limited to Alaska 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. Alaska (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.

Jacob Kelly (NPI 1851551949)

Field	Value
Entity Type	Individual
Organization	Jacob Kelly
Address	3841 Piper St Ste T100
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Advanced Heart Failure and Transplant Cardiology Physician
NPI Enumerated	June 11, 2008

Payer Source	Total Paid
Medicare	$495.1K
Medicaid	$0

Key Findings

This provider is effectively single-payer with Medicare-only activity on file: total Medicare revenue is $495.1K and Medicaid revenue is listed as none. That lack of Medicaid billing means payers should treat this profile as Medicare-centric when assessing market reach and referral patterns.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 48.6% of the provider's total Medicare revenue. Those top drivers are 78492 ($110.8K, 22.7%), A9555 ($70K, 14.3%), and 99214 ($56.2K, 11.5%), indicating a narrow set of services produce nearly half of billed Medicare dollars.

The code mix points to a hybrid clinical model combining advanced nuclear cardiology and consultative cardiology. High-revenue imaging codes such as 78492 (myocardial perfusion PET), A9555 (Rubidium rb-82 tracer), and related injectables like J2785 (regadenoson) together with frequent E/M codes (99214, 99233, 99223) suggest the provider performs stress imaging studies and also manages inpatient and outpatient complex cardiology consultations consistent with Advanced Heart Failure and Transplant Cardiology taxonomy.

Competitive standing varies by service line: for nuclear perfusion 78492 the provider ranks #337 of 926 nationally (63th percentile; typical, unremarkable volume), and A9555 ranks #441 of 1266 (65th percentile; typical, unremarkable volume), which characterize imaging volumes as modest compared with national peers. In contrast, office E/M 99214 ranks #50106 of 479517 (90th percentile; typical, unremarkable volume), and routine ECG interpretation 93010 ranks in the 93th percentile, signaling relatively stronger outpatient evaluation volume versus imaging-only competitors.

Tenure is long and visible: the NPI was enumerated 2008-06-11 (~18 years ago), indicating an established billing history that supports observed mixes of inpatient E/M, critical care, and advanced imaging services. Longevity strengthens the interpretation that current patterns represent sustained practice behavior rather than a transient billing artifact.

Utilization counts reinforce clinical focus on stress testing and pharmacologic stress agents: 78492 shows 89 claims and A9555 178 claims while J2785 appears 498 times, demonstrating frequent use of regadenoson-based stress protocols. High claim counts for 99214 (493 claims) and 93306 (462 claims) further support a steady throughput of outpatient visits and transthoracic echocardiography.

The absence of any Medicaid billing limits assessment of payer mix and care access for non-Medicare populations; the practice appears Medicare-dominant which may reflect referral patterns, patient demographics in Anchorage AK, or contract choices. For payers and network planners, this means Medicaid penetration is effectively zero on file and any Medicaid strategy would need to be developed from a near-zero baseline.

There are selective low-volume or below-peer activities in some technical codes: 71275 ranks #17864 of 19107 (5th percentile; typical, unremarkable volume) and 93351 ranks #3253 of 3862 (12th percentile; typical, unremarkable volume), indicating limited chest CTA and continuous exercise TTE relative to national peers. These low percentiles suggest certain advanced imaging or niche procedures are not a major part of this provider's service mix and may be referred out rather than performed in-house.

Medicare: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78492	In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…	90	$1,250	$110.8K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	180	$390	$70K
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…	490	$110	$56.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	460	$110	$51.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	250	$130	$30.9K
J2785	Injection, regadenoson, 0.1 mg	500	$40	$20.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$180	$17.5K
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…	100	$170	$17.5K
75574	The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…	70	$250	$16.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	40	$390	$14.6K

Showing 1–10 of 35

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

Jacob Kelly — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

35 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78492	1	10	80	$1,260	$95.8K
A9555	1	10	160	$400	$60.2K
93306	10	40	390	$100	$31.2K
99233	32	190	80	$120	$17.1K
J2785	1	10	400	$40	$17K
99214	64	1,210	90	$100	$16.2K
78452	14	20	40	$240	$15.7K
75574	2	10	50	$250	$14.4K
99291	72	110	30	$220	$14K
99232	84	280	80	$80	$14K

Showing 1–10 of 35

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Providence Health & Services Washington	AK	Critical Access Hospital	$0	$11.4M
Alaska Heart Institute	AK	Cardiovascular Disease Physician	$0	$3.5M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$2.8M
Alaska Heart Institute	AK	Ambulatory Surgical Clinic/Center	$1.1M	$0
Peter Ehrnstrom	AK	MOHS-Micrographic Surgery Physician	$642.7K	$0
Ahmed Abuzaid	AK	Cardiovascular Disease Physician	$544.1K	$0
Nadine Baker	AK	Psychologist	$523.2K	$0
Lina Bautista	AK	Child & Adolescent Psychiatry Physician	$0	$495K
Alan Skolnick	AK	Cardiovascular Disease Physician	$473.3K	$0

Jacob Kelly — Billing Profile & Reimbursement Data

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Jacob Kelly — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References