Physician
Ellis Hospital
Ellis Hospital was paid $473K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoELLIS HOSPITAL
SCHENECTADY, NY 12308
SCHENECTADY, NY 12308
33aNPI1558547034assigned 01/15/2008
33bProvider typeFamily Medicine Physician
28Total paid$473K
24GClaims11,979
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#236 of 2,605
Median peer was paid$10K
This provider vs. median47×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,039 | $73K | |
| 2019 | 2,006 | $79K | |
| 2020 | 2,043 | $85K | |
| 2021 | 1,111 | $42K | |
| 2022 | 1,511 | $56K | |
| 2023 | 1,736 | $67K | |
| 2024incomplete | 1,533 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 4,209 | 4,174 | $131K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 18% | 1,105 | 1,059 | $86K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 2,930 | 2,903 | $83K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 1,745 | 1,724 | $78K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 8.7% | 789 | 778 | $41K |
| 99223 | Prolong inpt eval add15 m | 6.4% | 254 | 250 | $30K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 440 | 440 | $17K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 105 | 41 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | 14 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 71 | 13 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 29 | 25 | $612.39 |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 70 | 61 | $563.75 |
2 more codes
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 officialMILTON, PAUL (CEO)
Parent organizationELLIS HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Ellis Hospital | Schenectady, NY | $82.29M |
| Ellis Hospital | Schenectady, NY | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.