MADRAS MEDICAL GROUP P.C.

NPI: 1093768533 · MADRAS, OR 97741 · Family Medicine Physician · NPI assigned 05/18/2006

$517K

Total Medicaid Paid

25,142

Total Claims

22,575

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	EVANS, DAVID (VICE PRESIDENT)
NPI Enumeration Date	05/18/2006

Other providers sharing the same authorized official: EVANS, DAVID

Provider	City	State	Total 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
IN HOME DIAGNOSTICS LLC	SOUTHFIELD	MI	$0.00
PREMIER WOMEN'S HEALTHCARE	LENOIR	NC	$0.00
IN HOME DIAGNOSTICS, LLC	CHICAGO	IL	$0.00
TOTAL EYE CARE PA	MEMPHIS	TN	$0.00
EVANS ENTERPRISES INC	PEARL RIVER	LA	$0.00
CLEAR IMAGE, INC.	LITTLE ROCK	AR	$0.00
CIVILEYES LLC	PETALUMA	CA	$0.00
EVANS EYE CARE	NANTICOKE	PA	$0.00
LAKESIDE INTERNAL MEDICINE ASSOCIATES,LLC	SICKLERVILLE	NJ	$0.00
EVANS CHIROPRACTIC, LLC	LITTLETON	CO	$0.00
MARIAC ENTERPRISES, LLC	MARIETTA	GA	$0.00
DAVID EVANS DO INTERNAL MEDICINE LLC	LOXAHATCHEE	FL	$0.00
FREEDOM CHIROPRACTIC INC	FISHERS	IN	$0.00
ZOEY HOLDINGS LLC	FLORA	MS	$0.00
DIAGNOSTIC IMAGING CENTER AT TEXAS NEUROLOGY	DALLAS	TX	$0.00
INTEGRATED WELLNESS GROUP	DALLAS	TX	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
99213		16,983	15,264	$390K
99214		6,411	5,743	$91K
99391		101	87	$8K
90686		378	372	$7K
99394		36	35	$4K
90471		139	138	$3K
90832		35	28	$2K
99392		24	24	$2K
96110		225	224	$2K
99393		15	15	$1K
99212		67	63	$824.02
0011A		28	28	$692.07
0002A		17	17	$625.60
96127		137	128	$566.60
0071A		13	13	$484.80
99441		84	78	$445.16
0012A		12	12	$408.00
90734		15	14	$359.73
90670		16	16	$329.40
90656		14	14	$242.40
87804		16	13	$236.40
81002		155	103	$205.73
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	68	26	$189.89
99406		13	12	$134.53
Q2036	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	16	16	$114.62
80305		17	16	$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)	13	12	$44.16
T1015	Clinic visit/encounter, all-inclusive	94	64	$0.00