Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ELLIS, IRA

NPI: 1922005388 · MILAN, TN 38358 · Family Medicine Physician · NPI assigned 06/30/2005

$617K
Total Medicaid Paid
15,500
Total Claims
9,016
Beneficiaries
28
Codes Billed
2018-04
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $389.38
2019 8,010 $195K
2020 7,435 $422K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 2,350 1,196 $281K
H0033 Oral medication administration, direct observation 1,367 844 $137K
H2010 Comprehensive medication services, per 15 minutes 921 515 $56K
80305 5,411 2,891 $30K
99484 1,059 918 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,059 634 $18K
H0014 Alcohol and/or drug services; ambulatory detoxification 120 42 $17K
H0047 Alcohol and/or other drug abuse services, not otherwise specified 59 56 $14K
99233 Prolong inpt eval add15 m 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 258 169 $5K
99308 Subsequent nursing facility care, per day, straightforward 193 182 $4K
99232 Subsequent hospital care, per day, moderate complexity 159 61 $4K
99205 Prolong outpt/office vis 52 30 $4K
99220 41 29 $3K
99223 Prolong inpt eval add15 m 28 24 $2K
99238 Hospital discharge day management, 30 minutes or less 88 71 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 492 349 $2K
H0049 Alcohol and/or drug screening 92 52 $1K
81025 515 232 $1K
99307 45 44 $485.47
99492 43 28 $453.51
99406 44 20 $256.96
99309 Subsequent nursing facility care, per day, low to moderate complexity 23 21 $212.34
36415 Collection of venous blood by venipuncture 155 84 $205.57
99318 13 12 $98.15
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 64 57 $0.00
4004F 482 228 $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 119 104 $0.00