Marc Ellman, M.D., P.A.
Marc Ellman, M.D., P.A. was paid $1.05M by Medicaid between Feb 2018 and Dec 2024, across 22 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
EL PASO, TX 79936
Next to other Anesthesiology Physician providers in Texas
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 371 | $17K | |
| 2019 | 90 | $4K | |
| 2020 | 2,073 | $110K | |
| 2021 | 6,653 | $361K | |
| 2022 | 4,561 | $269K | |
| 2023 | 2,119 | $164K | |
| 2024incomplete | 1,512 | $129K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 33% | 3,324 | 3,230 | $346K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 4,057 | 3,885 | $281K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 16% | 785 | 518 | $172K |
| 92250 | 3.9% | 863 | 827 | $41K | |
| 00142 | 3.6% | 620 | 436 | $38K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.0% | 654 | 588 | $32K |
| 92015 | Determination of refractive state | 2.7% | 4,179 | 4,031 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 277 | 274 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 388 | 360 | $21K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 188 | 179 | $20K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 338 | 229 | $10K |
| 92136 | <1% | 391 | 271 | $8K |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 124 | $5K |
| 99152 | <1% | 456 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 130 | $5K |
| 92134 | <1% | 226 | $5K | |
| 92133 | <1% | 126 | $4K | |
| 92083 | <1% | 69 | $3K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 53 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 88 | $2K |
| 99153 | Mod sedat endo service >5yrs | <1% | 30 | $96.64 |
| 99058 | <1% | 13 | $30.60 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Southwestern Eye Center LTD | Scottsdale, AZ | $15.96M |
| Barnet Dulaney Perkins Eye Center, PC | Phoenix, AZ | $10.85M |
| Retinal Consultants of Arizona LTD | Phoenix, AZ | $6.16M |
| Vantage Eye Center a Medical Corp | Salinas, CA | $3.12M |
| Barnet Dulaney Perkins Eye Center, PC | Safford, AZ | $2.77M |
| Barnet Dulaney Perkins Eye Center, PC | Tucson, AZ | $2.23M |
| Barnet Dulaney Perkins Eye Center, PC | Sun City, AZ | $1.14M |
| West Texas Eye PA | Lubbock, TX | $1.07M |
| Barnet Dulaney Perkins Eye Center, PC | Phoenix, AZ | $1.06M |
| Barnet Dulaney Perkins Eye Center, PC | Flagstaff, AZ | $1.02M |
| Barnet Dulaney Perkins Eye Center, PC | Flagstaff, AZ | $936K |
| Vantage Surgery Center, L P | Salinas, CA | $645K |
| Southwestern Eye Center LTD | Deming, NM | $617K |
| Southwestern Eye Center LTD | Yuma, AZ | $537K |
| Southwestern Eye Center LTD | Scottsdale, AZ | $492K |
| Southwestern Eye Center LTD | Casa Grande, AZ | $419K |
| Southwestern Eye Center LTD | Sun City, AZ | $358K |
| Desert Peaks Surgery Center LLC | Las Cruces, NM | $350K |
| Vital Sight, PC | Tucson, AZ | $270K |
| Barnet Dulaney Perkins Eye Center, PC | Show Low, AZ | $267K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.