Physician
Madras Medical Group P.C.
Madras Medical Group P.C. was paid $517K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoMADRAS MEDICAL GROUP P.C.
MADRAS, OR 97741
MADRAS, OR 97741
33aNPI1093768533assigned 05/18/2006
33bProvider typeFamily Medicine Physician
28Total paid$517K
24GClaims25,142
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Oregon
Rank by total paid#36 of 208
Median peer was paid$49K
This provider vs. median11×
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 | 4,610 | $50K | |
| 2019 | 4,854 | $83K | |
| 2020 | 3,759 | $66K | |
| 2021 | 4,042 | $100K | |
| 2022 | 3,563 | $102K | |
| 2023 | 2,518 | $75K | |
| 2024incomplete | 1,796 | $41K |
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 | 76% | 16,983 | 15,264 | $390K |
| 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 | 18% | 6,411 | 5,743 | $91K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 101 | 87 | $8K |
| 90686 | 1.3% | 378 | 372 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 36 | 35 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 139 | 138 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 35 | 28 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 24 | 24 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 225 | 224 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 15 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 67 | 63 | $824.02 |
| 0011A | <1% | 28 | 28 | $692.07 |
16 more codes
| 0002A | <1% | 17 | $625.60 | |
| 96127 | <1% | 137 | $566.60 | |
| 0071A | <1% | 13 | $484.80 | |
| 99441 | <1% | 84 | $445.16 | |
| 0012A | <1% | 12 | $408.00 | |
| 90734 | <1% | 15 | $359.73 | |
| 90670 | <1% | 16 | $329.40 | |
| 90656 | <1% | 14 | $242.40 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $236.40 |
| 81002 | <1% | 155 | $205.73 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 68 | $189.89 |
| 99406 | <1% | 13 | $134.53 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | <1% | 16 | $114.62 |
| 80305 | <1% | 17 | $87.92 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | $44.16 |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 94 | $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 officialEVANS, DAVID (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Town of Wareham | Wareham, MA | $1.87M |
| David L. Evans, O.D., P.A. | Little Rock, AR | $114K |
| Austin Travis County Mental Health and Mental Retardation Center | Austin, TX | $81K |
| Total Eye Care P a | Memphis, TN | $615.95 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.