Physician
Ellis, Ira
Ellis, Ira was paid $617K by Medicaid between Apr 2018 and Dec 2020, across 28 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 45% of everything it billed.
33Billing provider infoELLIS, IRA
MILAN, TN 38358
MILAN, TN 38358
33aNPI1922005388assigned 06/30/2005
33bProvider typeFamily Medicine Physician
28Total paid$617K
24GClaims15,500
24DCodes billed28
24AFirst – last monthApr 2018 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#90 of 754
Median peer was paid$34K
This provider vs. median18×
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 | 55 | $389.38 | |
| 2019 | 8,010 | $195K | |
| 2020 | 7,435 | $422K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 45% | 2,350 | 1,196 | $281K |
| H0033 | Oral medication administration, direct observation | 22% | 1,367 | 844 | $137K |
| H2010 | Comprehensive medication services, per 15 minutes | 9.0% | 921 | 515 | $56K |
| 80305 | 4.9% | 5,411 | 2,891 | $30K | |
| 99484 | 4.2% | 1,059 | 918 | $26K | |
| 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 | 2.9% | 1,059 | 634 | $18K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 2.7% | 120 | 42 | $17K |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 2.3% | 59 | 56 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 248 | 123 | $11K |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | <1% | 258 | 169 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 193 | 182 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 159 | 61 | $4K |
16 more codes
| 99205 | Prolong outpt/office vis | <1% | 52 | $4K |
| 99220 | <1% | 41 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 88 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 492 | $2K |
| H0049 | Alcohol and/or drug screening | <1% | 92 | $1K |
| 81025 | <1% | 515 | $1K | |
| 99307 | <1% | 45 | $485.47 | |
| 99492 | <1% | 43 | $453.51 | |
| 99406 | <1% | 44 | $256.96 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 23 | $212.34 |
| 36415 | Collection of venous blood by venipuncture | <1% | 155 | $205.57 |
| 99318 | <1% | 13 | $98.15 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 64 | $0.00 |
| 4004F | 0% | 482 | $0.00 | |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | 0% | 119 | $0.00 |
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.