Physician
Madison Women's Clinic, PLLC
Madison Women's Clinic, PLLC was paid $103K by Medicaid between Feb 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoMADISON WOMEN'S CLINIC, PLLC
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1497824106assigned 11/07/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$103K
24GClaims4,432
24DCodes billed12
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Idaho
Rank by total paid#8 of 17
Median peer was paid$85K
This provider vs. median1.2×
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 | $4K | |
| 2019 | 366 | $10K | |
| 2020 | 993 | $26K | |
| 2021 | 1,130 | $19K | |
| 2022 | 1,136 | $37K | |
| 2023 | 315 | $4K | |
| 2024incomplete | 141 | $4K |
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 | 45% | 831 | 773 | $47K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 465 | 416 | $16K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 14% | 153 | 125 | $14K |
| 36415 | Collection of venous blood by venipuncture | 6.1% | 2,417 | 2,216 | $6K |
| 76820 | 5.7% | 151 | 99 | $6K | |
| 76818 | 5.7% | 84 | 62 | $6K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.7% | 67 | 49 | $5K |
| 59025 | Fetal non-stress test | 2.3% | 74 | 53 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 151 | 144 | $1K |
| 81025 | <1% | 12 | 12 | $92.78 | |
| 96127 | <1% | 14 | 12 | $61.04 | |
| 81002 | <1% | 13 | 13 | $36.39 |
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 officialBARTON, BRUCE (MANAGING PARTNER)