Medicare Facts for Dr. Carla L. Ellis, MD


National Provider Identifier [NPI]: 1265639173
Last Name Of The Provider ELLIS
First Name Of The Provider CARLA
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1364 CLIFTON RD NE
Street Address 2 Of The Provider SUITE H-194
City Of The Provider ATLANTA
Zip Code Of The Provider 303221059
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Pathology
Medicare Participation Indicator Y
Number Of HCPCS 17
Number Of Services 1041
Number Of Medicare Beneficiaries 164
Total Submitted Charge Amount 106393
Total Medicare Allowed Amount 37431.45
Total Medicare Payment Amount 28749.1
Total Medicare Standardized Payment Amount 24277.51
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 17
Number Of Medical Services 1041
Number Of Medicare Beneficiaries With Medical Services 164
Total Medical Submitted Charge Amount 106393
Total Medical Medicare Allowed Amount 37431.45
Total Medical Medicare Payment Amount 28749.1
Total Medical Medicare Standardized Payment Amount 24277.51
Average Age Of Beneficiaries 63
Number Of Beneficiaries Age Less65 73
Number Of Beneficiaries Age 65 to 74 62
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 53
Number Of Male Beneficiaries 111
Number Of Non Hispanic White Beneficiaries 75
Number Of Black or African American Beneficiaries 70
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 123
Number Of Beneficiaries With Medicare Medicaid Entitlement 41
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 18
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 74
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 18
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 23
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 3.1524

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