Providers
KELLY J TURNER, MD
NPI 1700808243, individual, Amarillo, TX, Emergency Medicine
1
Evidence tier
documented action, then payment
- Listed on the TX Medicaid exclusion list since October 22, 2018.
- Medicaid still paid claims in 14 later months, $88,543 in total.
- Medicaid dollars per patient on code 99284 ($319 per patient-month) sit in the top 5% of every provider billing that code.
score 99 of 100, rank 16, $89K at stake
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| TX Medicaid exclusion list texas hhsc oig exclusions file (sept 5 2026) | Exact NPI, name verified | Oct 22, 2018 | May 18, 2023 | 14 | Dec 2021 | Apr 2023 | $89K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KELLY J TURNER, MD |
| Type | Individual |
| Status | Active |
| NPI issued | July 24, 2006, last updated July 13, 2024 |
| Practice location | 4121 S GEORGIA ST, Amarillo, TX 79110-1117, 817-875-9698 |
| Mailing address | 10232 LILAC RD, Oak Hills, CA 92344-9434 |
| Specialties | Emergency Medicine (207P00000X, primary, license l4152 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | $328K | 53% | $319 | $86 (top 5% from $224) | 98th percentile | |
| 99285 | Emergency department visit with high level of medical decision making | $199K | 32% | $7K | $100 (top 5% from $264) | too few months to rank | |
| 99283 | Emergency department visit with low level of medical decision making | $76K | 12% | $124 | $60 (top 5% from $193) | 83rd percentile | |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | $13K | 2% | $59 | $113 (top 5% from $189) | 24th percentile | |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | $3K | 1% | $22 | $30 (top 5% from $48) | 24th percentile | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | $1K | 0% | $38 | $75 (top 5% from $185) | too few months to rank | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $659 | 0% | $20 | $22 (top 5% from $33) | too few months to rank | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $546 | 0% | $27 | $44 (top 5% from $70) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 51 | 49 | $7K | $3K | $168 | 16.9x | 6.9x (90th percentile 11.7x) |
| 99284 | Emergency department visit with moderate level of medical decision making | 68 | 67 | $6K | $1K | $116 | 10.5x | 6.7x (90th percentile 11.3x) |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 15 | 15 | $92 | $96 | $8 | 12.5x | 6.0x (90th percentile 11.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Randall County, TX carry an indicator in the public record, with $20K at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | BELYNDA YARBER Amarillo, TX, ranked 9738 | $10K |
|
| 5 | KELLY LINLEY Amarillo, TX, ranked 11935 | $10K |
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.