Madara, Erica

Madara, Erica was paid $85K by Medicaid between Apr 2022 and Mar 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoMADARA, ERICA
AMHERST, MA 01002

33aNPI1184285165assigned 06/21/2019

33bProvider typeFamily Nurse Practitioner

28Total paid$85K

24GClaims1,938

24DCodes billed12

24AFirst – last monthApr 2022 – Mar 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Massachusetts

Rank by total paid#36 of 327

Median peer was paid$5K

This provider vs. median16×

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	1,508	$68K
2023	430	$17K

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	57%	698	671	$48K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	18%	298	296	$16K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	7.4%	104	104	$6K
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	4.5%	30	30	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	3.9%	79	79	$3K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	3.2%	287	286	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.5%	13	13	$1K
96127		1.3%	151	151	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.1%	93	93	$950.46
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	29	28	$810.55
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	25	25	$478.50
85018		<1%	131	131	$330.47

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.