Physician

Holly C Kelly, MD

According to 2025 Medicare claims, Holly Kelly, MD (NPI: 1619076528) practices physical medicine and rehabilitation in the San Rafael, CA market, with the plurality of this provider's patient population coming from Marin, CA. This provider's primary affiliated billing organization is SUTTER BAY MEDICAL FOUNDATION (NPI: 1003267196; TIN: 941156581) and primary practice location at 94945-5056. Kelly is affiliated with the Sutter Medicare Direct (ACO ID: A5279), participating under the MSSP model.

Kelly's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 597 traditional Medicare patients, billed 5,305 HCPCS/CPT codes, and received $278,648 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 851 prescription claims across 213 beneficiaries totaling $16,706 in drug costs, led by Gabapentin (Gabapentin). 2023 DME data shows 12 claims. Open Payments data shows 1 records totaling $96. 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 started with an early spike, then settled into a lower baseline, moving from $82,636 to $16,706. In contrast, DME billing represents a smaller volume and declined steadily, from $2,576 to $598.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	630	11,086	$331,732
2016	653	12,047	$338,573
2017	640	11,047	$319,257
2018	666	11,957	$342,910
2019	715	14,629	$351,661
2020	669	16,249	$370,553
2021	795	17,349	$446,456
2022	839	17,798	$443,870
2023	624	8,568	$285,376
2024	597	5,305	$278,648

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	264	1,338	$82,636
2016	258	1,415	$103,889
2017	264	1,187	$69,827
2018	243	1,021	$53,200
2019	187	614	$45,163
2020	178	757	$47,506
2021	204	887	$33,420
2022	236	1,056	$37,432
2023	223	1,084	$24,301
2024	213	851	$16,706

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	21	95	$34,031
2016	N/R	48	$1,344
2017	N/R	19	$753
2018	N/R	46	$1,592
2019	N/R	59	$2,175
2020	N/R	38	$1,259
2021	N/R	21	$756
2022	43	59	$3,259
2023	N/R	12	$282
2024	N/R	N/R	N/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	190	215	$205
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$146
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	330	$118
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	236	397	$81
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	194	911	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	211	6,693	$2,316
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	51	1,458	$1,949
Tizanidine Hcl	Tizanidine Hcl	155	4,832	$1,266
Calcitonin-Salmon	Calcitonin,salmon,synthetic	12	660	$1,094
Celecoxib	Celecoxib	47	1,750	$1,054

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$96	SPR Therapeutics, Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Holly C. Kelly, MD?

Tedicare shows public-source Medicare data for Holly C. Kelly, MD (NPI 1619076528), 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 Holly C. Kelly, MD have ACO affiliation data?

Holly C. Kelly, MD is shown with ACO affiliation data for Sutter Medicare Direct (MSSP, ACO ID A5279).

What billing organization is linked to Holly C. Kelly, MD?

Holly C. Kelly, MD is linked to SUTTER BAY MEDICAL FOUNDATION (billing NPI 1003267196) in the available physician profile data.

Does Holly C. Kelly, MD have Open Payments data?

Holly C. Kelly, MD has 1 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.