Physician
Madison III, Edward
Madison III, Edward was paid $246K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoMADISON III, EDWARD
SLIDELL, LA 70458
SLIDELL, LA 70458
33aNPI1104956382assigned 03/06/2007
33bProvider typeInternal Medicine Physician
28Total paid$246K
24GClaims7,125
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Louisiana
Rank by total paid#64 of 290
Median peer was paid$27K
This provider vs. median9.2×
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 | 1,419 | $44K | |
| 2019 | 1,231 | $41K | |
| 2020 | 868 | $27K | |
| 2021 | 880 | $32K | |
| 2022 | 741 | $28K | |
| 2023 | 1,020 | $38K | |
| 2024incomplete | 966 | $35K |
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 | 58% | 3,611 | 3,372 | $143K |
| 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 | 25% | 1,027 | 954 | $60K |
| 99051 | 13% | 1,947 | 1,805 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 448 | 422 | $11K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 50 | 35 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 23 | 19 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 19 | 15 | $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.