FDFairDoctor.org

Dr. John Ellis , M.D.

Fair / Standard
Practice Location: Plains,Pennsylvania 18705
National Provider Identifier (NPI): 1316088669
38 mins
Average Visit Time
2.15x
Markup Level
6,879
Annual Services
Fair Pricing Standard

Aligned with Customary Rates

2.1x Markup

This physician's billed charges remain close to standard insurance allowable rates (within 2.5 times baseline). Patients visiting this practice rarely encounter extreme out-of-pocket price inflation.

The Rushed Visit Index

Thorough Listener

~38 min face-time

Consistently devotes longer face-to-face evaluations. Ideal for complex medical concerns, multiple symptoms, or patients who value comprehensive discussion without feeling rushed.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

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Appointment Length & Visit Style

Clinical appointment coding analysis across standard patient evaluations

Consultation Classification
In-Depth (30-40 mins)

Dr. Ellis predominantly conducts detailed and comprehensive consultations. This provider schedules longer face-to-face evaluations, spending more time per patient than fast-turnaround clinics.

What visit duration tells you:
•Thorough evaluations: Longer appointments mean more opportunity to ask questions, review medical histories, and explain treatment options.
•Complex medical care: Patients managing multiple chronic conditions or seeking second opinions often benefit from physicians with extended visit styles.
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Pricing Transparency & Fee Comparison

How this provider bills compared to standard insurance benchmarks

Pricing Markup Ratio
2.15x
National Specialty Average: 2.56x
Total Annual Charges Billed
$1,266,963
Gross billed amount on claims
Standard Benchmark Value
$589,553
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Ellis's billed charges align closely with standard customary rates. If you have insurance, negotiated rates will apply. For self-paying, uninsured, or out-of-network care, this doctor's billing practices reflect customary and modest fees.

Verified Clinical Procedures & Surgical Focus

Official annual procedure volumes, customary fee comparisons, and clinical focus areas.

Clinical Procedure & CodeAnnual ServicesDoctor ChargePeer NormStandard Baselinevs. Peer Norm
CPT 99214
2,157$200.00$245.00$121.870.82x
CPT 93000
2,093$45.00$59.00$13.690.76x
CPT 85610
426$20.00$18.00$4.201.11x
HCPCS J2785
244$75.00$122.25$56.950.61x
CPT 93306
174$650.00$355.34$184.461.83x
HCPCS A9502
167$232.19$293.53$110.190.79x
CPT 78452
163$800.00$440.00$411.441.82x
CPT 99223
136$250.00$496.25$164.180.5x
👨‍⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓

This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:

Evaluation & Management Mix

Estimated appointment time calculation: 38 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.

Charge-to-Payment Ratio

Gross charge multiplier: 2.15x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.

Patient Guidance: What to Ask Before Your Appointment

  • In-Network Confirmation: Confirm directly with your insurance plan that Dr. Ellis participates in your specific network tier.
  • Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
  • Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.