City of Madison

City of Madison was paid $155K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is H1003, Prenatal care, at-risk enhanced service; education — 29% of everything it billed.

33Billing provider infoCITY OF MADISON
MADISON, WI 53703

33aNPI1487763124assigned 08/29/2006

33bProvider typePublic Health or Welfare Agency

28Total paid$155K

24GClaims6,589

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Public Health or Welfare Agency providers in Wisconsin

Rank by total paid#26 of 67

Median peer was paid$52K

This provider vs. median3.0×

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	1,454	$31K
2019	1,876	$38K
2020	463	$11K
2021	558	$14K
2022	1,478	$39K
2023	201	$5K
2024incomplete	559	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H1003	Prenatal care, at-risk enhanced service; education	29%	1,387	880	$44K
T1016	Case management, each 15 minutes	25%	2,206	998	$39K
H1004	Prenatal care, at-risk enhanced service; follow-up home visit	18%	958	632	$28K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	17%	1,088	799	$26K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	7.2%	359	264	$11K
H0033	Oral medication administration, direct observation	2.8%	445	91	$4K
99401		<1%	120	82	$1K
H1002	Prenatal care, at risk enhanced service; care coordination	<1%	14	13	$634.27
H1000	Prenatal care, at-risk assessment	<1%	12	12	$444.40

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 officialSCHLENKER, THOMAS (DIRECTOR)