Madsen Orthopedics and Spine, PSC

Madsen Orthopedics and Spine, PSC was paid $145K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoMADSEN ORTHOPEDICS AND SPINE, PSC
TERRE HAUTE, IN 47802

33aNPI1427212315assigned 07/10/2008

33bProvider typeOrthopaedic Surgery Physician

28Total paid$145K

24GClaims3,655

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Indiana

Rank by total paid#10 of 41

Median peer was paid$30K

This provider vs. median4.9×

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	596	$11K
2019	665	$25K
2020	377	$16K
2021	582	$22K
2022	580	$31K
2023	599	$27K
2024incomplete	256	$13K

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	74%	2,858	2,397	$107K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	22%	498	455	$32K
20610		1.4%	82	59	$2K
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	1.1%	15	14	$2K
72100		<1%	59	50	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$315.30
73560		<1%	13	12	$309.74
29505		<1%	16	13	$260.68
76000		<1%	29	24	$56.16
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	52	43	$4.15
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	21	17	$0.04

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 officialMADSEN, KURT (OWNER)