Physician
Madison County Medical Assoc, PC
Madison County Medical Assoc, PC was paid $183K by Medicaid between Jan 2018 and Oct 2023, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoMADISON COUNTY MEDICAL ASSOC, PC
WINTERSET, IA 50273
WINTERSET, IA 50273
33aNPI1386727204assigned 10/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$183K
24GClaims7,239
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#104 of 275
Median peer was paid$69K
This provider vs. median2.7×
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 | 623 | $14K | |
| 2019 | 992 | $27K | |
| 2020 | 1,205 | $36K | |
| 2021 | 1,515 | $38K | |
| 2022 | 1,846 | $41K | |
| 2023 | 1,058 | $28K |
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 | 60% | 3,602 | 2,876 | $109K |
| 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 | 27% | 1,392 | 1,163 | $49K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.2% | 1,328 | 1,090 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 156 | 139 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 53 | 48 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 16 | 16 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 61 | 56 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 36 | 31 | $1K |
| 90688 | <1% | 59 | 43 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 113 | 91 | $983.37 |
| 0012A | <1% | 18 | 18 | $658.39 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 79 | 73 | $517.65 |
7 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 136 | $366.12 |
| 90756 | <1% | 20 | $265.98 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 85 | $264.00 |
| 0011A | <1% | 19 | $257.16 | |
| 87430 | <1% | 13 | $191.03 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 91301 | 0% | 41 | $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.
From NPPES
Who's on the registration
Authorized officialDE REGNIER, KEVIN (PRESIDENT)