Clinic
Madison Direct Health
Madison Direct Health was paid $226K by Medicaid between May 2022 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoMADISON DIRECT HEALTH
MADISON, IN 47250
MADISON, IN 47250
33aNPI1013513282assigned 12/11/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$226K
24GClaims4,111
24DCodes billed4
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Indiana
Rank by total paid#8 of 39
Median peer was paid$19K
This provider vs. median12×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 612 | $36K | |
| 2023 | 2,146 | $122K | |
| 2024incomplete | 1,353 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 73% | 1,776 | 1,262 | $165K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 17% | 281 | 249 | $37K |
| 80305 | 11% | 2,041 | 1,280 | $24K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | 12 | $91.72 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSMITH, BRANDY (OWNER/MANAGER)
| Provider | Location | Paid |
|---|---|---|
| The Pediatric Care Center, LLC | Leesville, SC | $1.73M |
| County of Louisa | Wapello, IA | $952.11 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.