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 Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont 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. Vermont (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.

Lixia Ellis (NPI 1285861674)

Field	Value
Entity Type	Individual
Organization	Lixia Ellis
Address	100 Hospital Dr
City	Bennington
State	VT
ZIP	05201
Taxonomy	Dermatology Physician
NPI Enumerated	June 12, 2009

Payer Source	Total Paid
Medicare	$283.1K
Medicaid	$0

Key Findings

This provider has $283.1K in lifetime Medicare revenue and no Medicaid billing on file, making Medicare the sole public payer reflected in available records. The NPI was enumerated on 2009-06-12 (~17 years ago), so this is a long-tenured individual clinician in the data despite a relatively modest cumulative Medicare revenue total.

Revenue is concentrated in a small set of services: the top three Medicare codes (99213, 17000, 99214) together account for 45.3% of this provider’s total Medicare revenue. The single largest code, 99213, alone represents 24.2% of Medicare revenue, with 17000 contributing 12.7% and 99214 contributing 8.4%.

The code mix indicates a procedure-heavy dermatology practice that also relies on routine office visits. High-volume lesion destruction and excision codes (17000, 17110, 17262, 17282, 17272) appear alongside standard E/M visits (99213, 99212, 99214), which suggests the provider performs both diagnostic/visits and frequent in-office procedural treatment of premalignant and malignant skin lesions.

Several procedure codes are national outliers, signalling unusually high procedural volume for this clinician: 17262 is labeled an extreme outlier (ranks #31 of 6198, 100th percentile), 17272 and 17282 are notably above typical national volume (99th and 98th percentiles respectively), and 17000 is notably above typical national volume (98th percentile). These rankings imply a competitive standing well above most peers nationally for skin lesion destruction procedures.

Visit-level codes also show exceptional volume: 99213 has 1.5K claims and is an extreme outlier nationally (ranks #2147 of 457151, 100th percentile), and 99212 has 911 claims and likewise ranks as an extreme outlier (100th percentile). The combination of very high claim counts for low-to-mid complexity E/M codes and large numbers of lesion destruction claims points to a high-throughput office model where many visits are tied to brief procedural encounters.

The practice shows a pronounced skew toward Medicare for public payer activity with no Medicaid billing reported; this makes the provider effectively single-payer (Medicare) in the public claims dataset. Given the absence of Medicaid activity, analysts should not expect comparable Medicaid-volume comparisons in-state and should treat Medicare as the primary public-facing payer for competitive assessments.

Several higher-reimbursement surgical procedures and repairs are present but at much lower volume (for example, 13132 with $12.4K revenue and 56 claims, and 11642 with $3.6K revenue and 50 claims), indicating that while the clinician performs complex repairs and excisions, the practice’s revenue-driving operations are dominated by routine E/M visits and high-volume lesion destruction. This mix is consistent with a dermatology practice that balances minor surgical cases with throughput-focused procedural care.

Medicare: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	1,500	$50	$67.4K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	1,230	$30	$35.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	370	$60	$23.4K
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,…	910	$20	$20K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	470	$40	$18.7K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	300	$60	$18.3K
17282	The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…	190	$90	$16.5K
99203	The provider sees a new 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 provider…	230	$50	$12.5K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	60	$220	$12.4K
17272	The provider destroys a malignant lesion on the scalp, neck, hands, feet, or genitalia using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to…	160	$70	$11.1K

Showing 1–10 of 34

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Lixia Ellis — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

34 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	86	960	90	$70	$10.6K
17282	1	10	100	$90	$9.1K
13132	1	10	50	$180	$7.9K
17110	1	40	100	$60	$7.8K
17000	1	40	170	$30	$7.7K
11102	11	40	140	$50	$7.4K
99213	1	910	80	$50	$6.7K
17272	1	10	90	$70	$6.7K
11642	2	10	50	$110	$4.2K
99204	48	330	30	$100	$4.1K

Showing 1–10 of 34

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Southwestern Vermont Medical Center, Inc	VT	General Practice Physician	$0	$665.4K
Augustin Delago	NY	Cardiovascular Disease Physician	$501.1K	$0
Brion Winston	NY	Cardiovascular Disease Physician	$419.1K	$8.7K
Robert Giering	VT	Physical Medicine & Rehabilitation Physician	$397K	$0
Scott Rogge	VT	Cardiovascular Disease Physician	$239.5K	$0
Joseph Choma	NY	Gastroenterology Physician	$200.9K	$0
Thomas Sterling	VT	Emergency Medicine Physician	$118.3K	$0
Matthew Vernon	VT	Radiation Oncology Physician	$114.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Counseling Service Of Bennington County, Inc.	VT	Developmental Disabilities Clinic/Center	$0	$72.5M
Vermont Permanency Initiative, Inc.	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$27.9M
Savida Health, PC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$12M
Sunrise Family Resource Center	VT	Social Worker	$0	$7M
Seall Inc	VT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$6.6M
United Counseling Service Of Bennington County, Inc.	VT	Clinic/Center	$0	$6M
Town Of Bennington Rescue Squad, Inc.	VT	Land Ambulance	$683.4K	$2.7M
Oral And Facial Surgery Associates,plc	VT	Oral and Maxillofacial Surgery (Dentist)	$0	$1.8M
Brookside Pediatrics & Adolescent Medicine PLLC	VT	Pediatrics Physician	$0	$1.2M
Vermont Family Dental Plc	VT	Dental Clinic/Center	$0	$1.1M

Lixia Ellis — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References