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    OpenPayerNPI Medicare & MedicaidJulius Ellis
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    Julius Ellis — Billing Profile & Reimbursement Data

    NPI 1194734145 · La Porte, IN · Obstetrics & Gynecology Physician

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    Julius Ellis is a obstetrics & gynecology physician provider located in La Porte, Indiana. This profile covers 5 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJulius Ellis
    Address1509 State St
    CityLa Porte
    StateIN
    ZIP46350
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedAugust 7, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$5.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    58558The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…10$140$1.8K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…30$50$1.3K
    99213The 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…20$60$1.3K
    99212The 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,…20$40$770
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination20$40$540

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5855851010$850$15.2K
    992139,45510,82080$50$7.6K
    992121,4872,36030$30$2.1K
    9920216546020$40$1.3K
    G010125936020$30$1.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Julius Ellis, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Porte Clinic Company LLCINInternal Medicine Physician$0$18.8M
    Guillermo FontILMaternal & Fetal Medicine Physician$0$4.9M
    Kalid AdabWIHematology & Oncology Physician$259.5K$1.2M
    Wassim ShwaikiINPulmonary Disease Physician$404.9K$3.2K
    Mamoon ElbedawiMIGastroenterology Physician$353.4K$0
    Jeffrey HarrisGAObstetrics & Gynecology Physician$4.5K$282.4K
    Gaurav KumarINPulmonary Disease Physician$257.6K$0
    Vinay TumuluriINInternal Medicine Physician$218K$0
    Tarek AhdabILInterventional Cardiology Physician$198.8K$14K
    Anne HollingsworthINInternal Medicine Physician$208.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Julius Ellis, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Porte Hospital Company LLCINGeneral Acute Care Hospital$0$20.9M
    Centers For Pain Control, IncINPain Medicine Physician$0$8.1M
    North Indiana Emergency Physicians, LLPINEmergency Medicine Physician$0$7M
    La Porte County AuditorINLand Ambulance$1M$4.8M
    Valerie WeberINMental Health Counselor$0$5.2M
    Beacon Medical Group, Inc.INFamily Medicine Physician$0$3.4M
    Lincoln PediatricsINPediatrics Physician$0$3.3M
    Thomas AllenINHealth Service Psychologist$33.2K$1.4M
    Jennifer AlderinkINFamily Medicine Physician$981.7K$0
    Sayuri CheruvuINMedical Oncology Physician$934.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    Julius Ellis — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana