Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

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.

33Billing provider infoMARC ELLMAN, M.D., P.A.
EL PASO, TX 79936
33aNPI1053530907assigned 04/25/2007
33bProvider typeAnesthesiology Physician
28Total paid$1.05M
24GClaims17,379
24DCodes billed22
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Texas

Rank by total paid#24 of 134
Median peer was paid$34K
This provider vs. median31×

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.

Entity ProliferationAuthorized official BROOKFIELD, ARTHUR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018371$17K
201990$4K
20202,073$110K
20216,653$361K
20224,561$269K
20232,119$164K
2024incomplete1,512$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialBROOKFIELD, ARTHUR (CFO)
Same official

Other billing entities under BROOKFIELD, ARTHUR

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.