Physician

Justin Kelley, D.O.

According to 2025 Medicare claims, Justin Kelley, D.O. (NPI: 1205256187) practices orthopedic surgery in the Sandusky, OH market, with the plurality of this provider's patient population coming from Erie, OH. This provider's primary affiliated billing organization is NORTH COAST PROFESSIONAL COMPANY, LLC (NPI: 1881648210; TIN: 341608091) and primary practice location at 44870-3323. Kelley is affiliated with the Mercy Health Select, LLC (ACO ID: A1215) and Aledade 155 National MSSP (ACO ID: A5358), participating under the MSSP model.

Kelley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 302 traditional Medicare patients, billed 2,450 HCPCS/CPT codes, and received $131,225 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 819 prescription claims across 238 beneficiaries totaling $12,031 in drug costs, led by Xarelto (Rivaroxaban). Open Payments data shows 12 records totaling $1,031. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $5,174 to $12,031. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$66K$131K2020 Medicare payment: $29,174 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $115,494 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $103,341 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $113,358 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $131,225 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
202093278$29,174
20212471,397$115,494
20222641,830$103,341
20232932,707$113,358
20243022,450$131,225

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$6.0K$12K2015 Drug cost: $5,174 (USD; Tot_Drug_Cst)2016 Drug cost: $3,725 (USD; Tot_Drug_Cst)2017 Drug cost: $241 (USD; Tot_Drug_Cst)2018 Drug cost: $190 (USD; Tot_Drug_Cst)2019 Drug cost: $336 (USD; Tot_Drug_Cst)2020 Drug cost: $969 (USD; Tot_Drug_Cst)2021 Drug cost: $3,711 (USD; Tot_Drug_Cst)2022 Drug cost: $7,012 (USD; Tot_Drug_Cst)2023 Drug cost: $7,373 (USD; Tot_Drug_Cst)2024 Drug cost: $12,031 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155086$5,174
201680128$3,725
20171721$241
20181718$190
20191623$336
20205697$969
2021171420$3,711
2022208650$7,012
2023224695$7,373
2024238819$12,031

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6999$90
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more6464$80
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more135192$64
20610Aspiration and/or injection of fluid from large joint108150$50
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg115692$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XareltoRivaroxaban11345$5,952
CelecoxibCelecoxib421,320$1,435
MeloxicamMeloxicam1545,916$541
Oxycodone HclOxycodone Hcl89622$538
Tramadol HclTramadol Hcl1671,268$529

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.12$1,031BIOTISSUE HOLDINGS INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Justin Kelley, D.O.?

Tedicare shows public-source Medicare data for Justin Kelley, D.O. (NPI 1205256187), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Justin Kelley, D.O. have ACO affiliation data?

Justin Kelley, D.O. is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215) and Aledade 155 National MSSP (MSSP, ACO ID A5358).

What billing organization is linked to Justin Kelley, D.O.?

Justin Kelley, D.O. is linked to NORTH COAST PROFESSIONAL COMPANY, LLC (billing NPI 1881648210) in the available physician profile data.

Does Justin Kelley, D.O. have Open Payments data?

Justin Kelley, D.O. has 12 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.