Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Howard Ellis (NPI 1013063445)

Howard Ellis is a pediatrics physician provider located in Lawrenceville, Georgia. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Howard Ellis
Address	665 Duluth Hwy Ste 920
City	Lawrenceville
State	GA
ZIP	30046
Taxonomy	Pediatrics Physician
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$152.3K
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	980	$40	$36.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	560	$60	$34.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	370	$90	$32.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	320	$90	$26.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	320	$40	$11.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	50	$80	$3.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	50	$60	$2.8K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	20	$90	$1.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	20	$90	$1.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	60	$20	$1.3K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Howard Ellis — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	412	920	370	$60	$360.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	110	180	680	$90	$226.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	102	180	720	$90	$204.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	113	250	660	$40	$172.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	137	170	500	$100	$170.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	187	360	370	$50	$153.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	130	160	190	$110	$129.7K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	45	50	50	$80	$56.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	61	90	90	$60	$41.4K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	129	150	660	$10	$15.6K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gwinnett Physician Group, LLC	GA	Internal Medicine Physician	$0	$8.3M
Salman Ashfaq	GA	Interventional Cardiology Physician	$747.9K	$0
Markus Porkert	GA	Cardiovascular Disease Physician	$493.3K	$0
Guna Sekar	GA	Pediatrics Physician	$0	$472.5K
Sreenivasulu Gangasani	GA	Cardiovascular Disease Physician	$425.1K	$0
Jean Song	GA	Pediatrics Physician	$0	$404.7K
Divya Joshi	GA	Pediatrics Physician	$0	$366.3K
Searle Videlefsky	GA	Cardiovascular Disease Physician	$363K	$0
Manfred Sandler	GA	Cardiovascular Disease Physician	$339.2K	$0
Martin Siegfried	GA	Cardiovascular Disease Physician	$327.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ivy League Pediatrics	GA	Pediatrics Physician	$0	$4.8M
Amazing Care Agency Inc	GA	Home Health Agency	$0	$3.7M
Gwinnett County Board Of Commissioners	GA	Ambulance	$3.4M	$2K
Psychiatric Services Of America	GA	Psychiatry Physician	$0	$2.5M
View Point Health	GA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.8M
Uhs Of Summitridge, LLC	GA	Psychiatric Hospital	$0	$1.8M
Lawrenceville Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Georgia Interventional Pain LLC	GA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Gwinnett Psychiatry, P.C.	GA	Adolescent and Children Mental Health Clinic/Center	$0	$1.3M
Pediatric Associates Of Lawrenceville LLC	GA	Pediatric Adolescent Medicine Physician	$0	$1.1M

Howard Ellis — Billing Profile & Reimbursement Data

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Howard Ellis — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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