Clinic
Madison Family Medicine, PC
Madison Family Medicine, PC was paid $490K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.
33Billing provider infoMADISON FAMILY MEDICINE, PC
VIENNA, VA 22181
VIENNA, VA 22181
33aNPI1023252624assigned 04/27/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$490K
24GClaims16,588
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Virginia
Rank by total paid#21 of 80
Median peer was paid$108K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2018 | 2,573 | $49K | |
| 2019 | 3,666 | $84K | |
| 2020 | 2,781 | $87K | |
| 2021 | 2,662 | $83K | |
| 2022 | 2,045 | $73K | |
| 2023 | 1,734 | $67K | |
| 2024incomplete | 1,127 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 88% | 9,656 | 7,777 | $432K |
| 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 | 5.2% | 440 | 372 | $25K |
| 80305 | 3.3% | 1,361 | 1,103 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 192 | 179 | $5K |
| 99000 | <1% | 1,884 | 1,701 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,281 | 2,086 | $3K |
| 90686 | <1% | 96 | 83 | $968.66 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 15 | 12 | $842.77 |
| 93000 | <1% | 86 | 71 | $744.00 | |
| 99441 | <1% | 194 | 167 | $661.68 | |
| 0002A | <1% | 15 | 15 | $473.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 242 | 202 | $354.50 |
6 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $174.36 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 19 | $65.70 |
| 99406 | <1% | 12 | $39.20 | |
| 90656 | <1% | 32 | $21.03 | |
| 91300 | <1% | 14 | $0.01 | |
| G0008 | Administration of influenza virus vaccine | 0% | 34 | $0.00 |
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 officialASSADI, HAMID (PRESIDENT)