Madison Avenue Physicians, PC

Madison Avenue Physicians, PC was paid $21K by Medicaid between Jan 2018 and Mar 2018, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoMADISON AVENUE PHYSICIANS, PC
NEW YORK, NY 10035

33aNPI1326147315assigned 09/22/2006

33bProvider typeUrology Physician

28Total paid$21K

24GClaims351

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#151 of 461

Median peer was paid$6K

This provider vs. median3.7×

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	351	$21K

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	37%	146	142	$8K
92275		13%	27	27	$3K
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	11%	32	31	$2K
99243		7.8%	18	18	$2K
52000		6.9%	15	15	$1K
92100		6.8%	24	24	$1K
95930		6.7%	18	18	$1K
92083		6.2%	25	25	$1K
92133		3.3%	23	23	$717.85
76514		<1%	23	23	$197.61

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 officialOGISTE, ESTELA (OWNER)