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

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

Madge Ellis (NPI 1619954948)

Field	Value
Entity Type	Individual
Organization	Madge Ellis
Address	1898 Braeburn Dr
City	Salem
State	VA
ZIP	24153
Taxonomy	Surgery Physician
NPI Enumerated	December 28, 2005

Payer Source	Total Paid
Medicare	$44.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
47563	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…	20	$540	$12.5K
99204	The provider sees a new 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 provider…	70	$110	$7.4K
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	20	$390	$6.7K
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…	70	$70	$4.8K
49593	The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are reducible, or able to be pushed back inside…	10	$400	$4.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$100	$3.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$60	$3K
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,…	50	$40	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Madge Ellis — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	2,877	4,460	80	$60	$11K
99213	7,050	12,440	90	$60	$10K
49650	40	80	20	$450	$8.6K
47563	2	30	10	$540	$8.2K
99204	1,705	6,850	40	$110	$5.9K
49593	4	10	10	$420	$5.5K
99222	1,145	3,120	30	$100	$4.4K
99212	931	2,830	30	$40	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$58.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$56.5M
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$42.8M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$38.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.7M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$15.1M
The Charlotte-mecklenburg Hospital Authority	NC	Pediatrics Physician	$0	$8.1M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$7.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lewis-gale Medical Center, LLC	VA	General Acute Care Hospital	$0	$51.8M
Virginia Baptist Children's Home & Family Services	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$43.8M
Innovative Community Solutions, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Lewis Gale Physicians LLC	VA	Internal Medicine Physician	$0	$20.6M
Lake Spring Emergency Group, LLC	VA	Emergency Medicine Physician	$0	$11.3M
Phc Of Virginia, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$10.6M
Roanoke Valley Center For Sight LLC	VA	Ambulatory Surgical Clinic/Center	$8.4M	$1.7M
Care Advantage, Inc.	VA	Home Health Agency	$0	$8.4M
Springhealth Behavioral Health And Integrated Care Virginia, LLC	VA	Community/Behavioral Health Agency	$0	$8M
Kimberly Aderhold	VA	Hematology & Oncology Physician	$1.8M	$0

Madge Ellis — Billing Profile & Reimbursement Data

Sign up for Madge Ellis — Billing Profile & Reimbursement Data policy alerts

Madge Ellis — Billing Profile & Reimbursement Data

Sign up for Madge Ellis — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References