Clinic
Madison Healthcare Services
Madison Healthcare Services was paid $1.20M by Medicaid between Mar 2022 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoMADISON HEALTHCARE SERVICES
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1083365670assigned 01/14/2022
33bProvider typeRural Health Clinic/Center
28Total paid$1.20M
24GClaims34,713
24DCodes billed6
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Kentucky
Rank by total paid#48 of 265
Median peer was paid$400K
This provider vs. median3.0×
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 | 5,878 | $165K | |
| 2023 | 13,718 | $487K | |
| 2024incomplete | 15,117 | $545K |
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 | 54% | 20,402 | 10,441 | $651K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 32% | 11,057 | 7,565 | $385K |
| 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 | 5.5% | 2,032 | 1,297 | $66K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.2% | 605 | 566 | $50K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.7% | 578 | 539 | $44K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | 27 | $1K |
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 officialSIMO, MARCEL (CEO/OWNER)