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

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

James Ellis (NPI 1598963647)

Field	Value
Entity Type	Individual
Organization	James Ellis
Address	12100 W Center Rd
City	Omaha
State	NE
ZIP	68144
Taxonomy	Dentist
NPI Enumerated	July 10, 2007

Payer Source	Total Paid
Medicaid	$224.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,360	$20	$56.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,320	$40	$48.9K
D0120	Periodic oral evaluation - established patient	1,760	$30	$44K
D0274	N/A	1,210	$20	$19.3K
D1999	N/A	1,570	$10	$15.7K
D1120	Prophylaxis–child	380	$30	$10.6K
D0220	Intraoral - periapical first radiographic image	1,590	$10	$7.9K
D0230	Intraoral - periapical each additional radiographic image	1,540	$1	$6.2K
D1351	Sealant - per tooth	210	$30	$6K
D0140	Limited oral evaluation – problem focused	190	$20	$4.1K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

James Ellis — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1351	Sealant - per tooth	89	130	460	$30	$84.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	63	320	460	$20	$62.2K
D1120	Prophylaxis–child	132	290	320	$30	$61K
D0120	Periodic oral evaluation - established patient	86	400	430	$20	$44.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	58	310	220	$40	$28.1K
D0210	Intraoral - complete series of radiographic images	80	130	160	$50	$26.8K
D1999	N/A	71	270	450	$10	$17.9K
D0150	Comprehensive oral evaluation – new or established patient	231	240	190	$20	$16.3K
D0140	Limited oral evaluation – problem focused	81	160	200	$20	$14.5K
D0274	N/A	48	250	190	$20	$14K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Radiology Consultants PC	NE	Diagnostic Radiology Physician	$0	$10M
Omaha Insomnia And Psychiatric Services, LLC	NE	Psychiatry Physician	$0	$1.9M
Becker Counseling Services LLC	NE	Mental Health Counselor	$0	$1.3M
Summit Dental Health - Oakview, LLC	NE	General Practice Dentistry	$0	$1.2M
Elite Professionals Home Care LLC	NE	Home Health Agency	$0	$1.1M
Shoptikal LLC	NE	Eyewear Supplier	$0	$987.5K
Pedodontics, PC	NE	Pediatric Dentistry	$0	$839.9K
Nebraska Home Health - Opco LLC	NE	Home Health Agency	$0	$828K
Nebraska Orthopaedic Hospital LLC	NE	General Acute Care Hospital	$0	$787.6K
Diamond Chiropractic & Acupuncture, LLC	NE	Chiropractor	$0	$684.7K

James Ellis — Billing Profile & Reimbursement Data

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James 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

Nearby Providers

Frequently Asked Questions

References