Thomas, Ellen

Thomas, Ellen was paid $83K by Medicaid between Jan 2018 and May 2020, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoTHOMAS, ELLEN
COLUMBIA, MO 65201

33aNPI1700834157assigned 05/05/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$83K

24GClaims2,196

24DCodes billed14

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Missouri

Rank by total paid#23 of 29

Median peer was paid$236K

This provider vs. median0.4×

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	922	$33K
2019	952	$37K
2020	322	$12K

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	60%	1,219	1,134	$50K
92551		14%	357	345	$11K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	9.4%	121	115	$8K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.6%	68	68	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.1%	62	60	$4K
90698		2.2%	67	65	$2K
90686		<1%	143	140	$817.92
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	14	13	$794.54
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	<1%	12	12	$753.00
99051		<1%	33	32	$379.27
90670		<1%	58	54	$277.78
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	14	$237.76

2 more codes

99173		<1%	13	$65.00
96161		<1%	15	$37.15

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.