Medicaid Provider Spending

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

DAN ELLIS GNP INC

NPI: 1942552732 · PORT GIBSON, MS 39150 · Gerontology Nurse Practitioner · NPI assigned 10/04/2012

$78K
Total Medicaid Paid
2,563
Total Claims
989
Beneficiaries
1
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialELLIS, DAN (PRESIDENT)
NPI Enumeration Date10/04/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,167 $36K
2019 977 $31K
2020 310 $7K
2021 109 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,563 989 $78K