Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MADISON FAMILY HEALTH CORPORATION

NPI: 1245442318 · LONDON, OH 43140 · Contractor · NPI assigned 05/03/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BROWNING, MICHAEL controls 15+ related entities in our dataset. Read more

$1.03M
Total Medicaid Paid
22,940
Total Claims
21,411
Beneficiaries
29
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialBROWNING, MICHAEL (CFO)
Parent OrganizationMADISON FAMILY HEALTH CORPORATION DBA MADISON HEALTH SPECIALTY CARE
NPI Enumeration Date05/03/2007

Related Entities

Other providers sharing the same authorized official: BROWNING, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,288 10,571 $612K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,931 6,568 $246K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 553 536 $45K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 900 873 $44K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,173 1,072 $25K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 189 175 $11K
99238 Hospital discharge day management, 30 minutes or less 315 298 $8K
99223 Prolong inpt eval add15 m 156 143 $8K
99232 Subsequent hospital care, per day, moderate complexity 222 136 $5K
99221 125 112 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 218 134 $3K
20611 43 27 $3K
99222 Initial hospital care, per day, moderate complexity 47 47 $2K
99215 Prolong outpt/office vis 44 40 $2K
99239 Hospital discharge day management, more than 30 minutes 76 73 $2K
99243 39 37 $2K
20610 57 52 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 349 308 $2K
99244 Office or other outpatient consultation, moderate to high complexity 14 14 $1K
94010 52 52 $761.27
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 17 $637.31
95886 12 12 $492.27
99233 Prolong inpt eval add15 m 16 12 $348.55
95012 27 27 $279.09
94060 14 12 $245.91
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $138.16
94726 12 12 $44.37
94729 12 12 $39.88
81003 27 27 $37.61