Madison Family Health Corporation
Madison Family Health Corporation was paid $1.03M by Medicaid between Jan 2018 and Aug 2023, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoMADISON FAMILY HEALTH CORPORATION
LONDON, OH 43140
LONDON, OH 43140
33aNPI1245442318assigned 05/03/2007
33bProvider typeContractor
28Total paid$1.03M
24GClaims22,940
24DCodes billed29
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Contractor providers in Ohio
Rank by total paid#1 of 7
Median peer was paid$13K
This provider vs. median77×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BROWNING, MICHAEL controls 15+ related entities in our dataset. Read more
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 | 1,229 | $46K | |
| 2019 | 2,873 | $123K | |
| 2020 | 3,126 | $145K | |
| 2021 | 4,429 | $202K | |
| 2022 | 6,318 | $294K | |
| 2023 | 4,965 | $222K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 11,288 | 10,571 | $612K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 6,931 | 6,568 | $246K |
| 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 | 4.4% | 553 | 536 | $45K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 900 | 873 | $44K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.4% | 1,173 | 1,072 | $25K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 189 | 175 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 315 | 298 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 156 | 143 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 222 | 136 | $5K |
| 99221 | <1% | 125 | 112 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 218 | 134 | $3K |
| 20611 | <1% | 43 | 27 | $3K |
17 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 47 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 44 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 76 | $2K |
| 99243 | <1% | 39 | $2K | |
| 20610 | <1% | 57 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 349 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 14 | $1K |
| 94010 | <1% | 52 | $761.27 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | $637.31 |
| 95886 | <1% | 12 | $492.27 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 16 | $348.55 |
| 95012 | <1% | 27 | $279.09 | |
| 94060 | <1% | 14 | $245.91 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | $138.16 |
| 94726 | <1% | 12 | $44.37 | |
| 94729 | <1% | 12 | $39.88 | |
| 81003 | <1% | 27 | $37.61 |
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 officialBROWNING, MICHAEL (CFO)
Parent organizationMADISON FAMILY HEALTH CORPORATION DBA MADISON HEALTH SPECIALTY CARE
| Provider | Location | Paid |
|---|---|---|
| Ohiohealth Corporation | Columbus, OH | $214.99M |
| Ohiohealth Corporation | Columbus, OH | $76.95M |
| Ohiohealth Corporation | Columbus, OH | $72.29M |
| Ohiohealth Corporation | Columbus, OH | $44.08M |
| Medcentral Health System | Mansfield, OH | $36.92M |
| Marion General Hospital, INC. | Marion, OH | $36.47M |
| Sheltering Arms Hospital Foundation, INC. | Athens, OH | $26.88M |
| Ohiohealth Berger Hospital LLC | Circleville, OH | $16.38M |
| Ohiohealth Corporation | Dublin, OH | $11.81M |
| Grady Memorial Hospital | Delaware, OH | $9.51M |
| Hardin Memorial Hospital | Kenton, OH | $7.27M |
| Medcentral Health System | Mansfield, OH | $3.13M |
| Marion General Hospital, INC. | Marion, OH | $683K |
| Medcentral Health System | Mansfield, OH | $477K |
| Sheltering Arms Hospital Foundation | Athens, OH | $435K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.