Madison Clinic Corp

Madison Clinic Corp was paid $132K by Medicaid between Jan 2018 and May 2018, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoMADISON CLINIC CORP
JACKSON, TN 38305

33aNPI1437102415assigned 05/18/2006

33bProvider typePediatrics Physician

28Total paid$132K

24GClaims5,380

24DCodes billed22

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Pediatrics Physician providers in Tennessee

Rank by total paid#170 of 333

Median peer was paid$139K

This provider vs. median0.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BREWER, DEBBIE controls 13+ 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	5,380	$132K

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	47%	1,887	1,573	$62K
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	24%	947	746	$32K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	338	292	$15K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	5.1%	699	307	$7K
99243		3.0%	52	51	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.9%	462	416	$4K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.0%	233	189	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.0%	76	64	$3K
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%	20	16	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	28	27	$679.72
80305		<1%	66	54	$455.65
81003		<1%	206	181	$284.41

10 more codes

81025		<1%	54	$246.66
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	75	$107.74
36415	Collection of venous blood by venipuncture	<1%	102	$102.88
92551		<1%	12	$78.49
99173		<1%	13	$71.58
93016		<1%	16	$60.22
96127		<1%	19	$59.32
93018		<1%	16	$54.46
81002		<1%	27	$34.76
99051		0%	32	$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 officialBREWER, DEBBIE (DIRECTOR OF PROVIDER ENROLLMENT)

Same official

Other billing entities under BREWER, DEBBIE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.