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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Kelly
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    Daniel Kelly — Billing Profile & Reimbursement Data

    NPI 1922089556 · Radford, VA · Family Medicine Physician

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    Daniel Kelly is a family medicine physician provider located in Radford, Virginia. This profile covers 24 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Kelly
    Address701 Randolph St Ste 120
    CityRadford
    StateVA
    ZIP24141
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 10, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$189.7K
    Medicaid$570

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…740$80$57.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit410$130$51.9K
    99213The 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…560$60$30.6K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…80$160$12.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.770$10$6.1K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$280$5.9K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…60$70$4.6K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$160$2.9K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…290$10$2.6K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…50$50$2.4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921492912,890140$80$21K
    G0439892,96080$120$14.7K
    9921367312,44090$60$10K
    906947761,48070$70$8.1K
    906779371,85020$280$8K
    850253271,180100$10$4K
    99495860020$140$3.6K
    G00081,7513,49070$30$3.1K
    364152092,620120$10$3K
    G040216060020$150$2.6K

    Showing 1–10 of 24

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…20$40$560

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…3,7144,010290$50$199.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carilion Medical CenterVAGeneral Acute Care Hospital$0$124.7M
    Carilion Medical CenterVAMulti-Specialty Clinic/Center$0$73.4M
    Carilion New River Valley Medical CenterVAGeneral Acute Care Hospital$0$32.4M
    Carilion Healthcare CorporationVAMulti-Specialty Clinic/Center$0$26.1M
    Carilion Franklin Memorial HospitalVAGeneral Acute Care Hospital$0$18.4M
    Carilion Medical CenterVAEmergency Medicine Physician$0$18.1M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Stonewall Jackson Memorial Hospital CompanyWVRural Acute Care Hospital$0$13M
    Carilion Rockbridge Community HospitalVACritical Access Hospital$0$11.8M
    Carilion Emergency Services, Inc.VAUrgent Care Clinic/Center$0$11.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pyramid Healthcare, Inc.VASubstance Use Disorder Rehabilitation Clinic/Center$0$7.7M
    Sudhendu ChoubeyVACardiovascular Disease Physician$441.2K$10.4K
    Richard CardVAInternal Medicine Physician$307.6K$0
    Kenneth GrayVAOrthopaedic Surgery Physician$173.5K$3.5K
    Jennifer NelsonVAOtolaryngology Physician$66K$0
    Joanne DillonVAAudiologist-Hearing Aid Fitter$11.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Daniel Kelly — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Daniel Kelly — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia