Physician
Medical Specialists of Madison County, PC
Medical Specialists of Madison County, PC was paid $771K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 42% of everything it billed.
33Billing provider infoMEDICAL SPECIALISTS OF MADISON COUNTY, PC
ANDERSON, IN 46016
ANDERSON, IN 46016
33aNPI1508891664assigned 07/11/2006
33bProvider typeCritical Care Medicine (Internal Medicine) Physician
28Total paid$771K
24GClaims13,945
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Care Medicine (Internal Medicine) Physician providers in Indiana
Rank by total paid#6 of 15
Median peer was paid$96K
This provider vs. median8.1×
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 | 680 | $15K | |
| 2019 | 1,900 | $84K | |
| 2020 | 1,163 | $69K | |
| 2021 | 2,240 | $137K | |
| 2022 | 3,193 | $196K | |
| 2023 | 2,697 | $154K | |
| 2024incomplete | 2,072 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 42% | 2,921 | 887 | $322K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 22% | 4,151 | 1,447 | $169K |
| 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 | 21% | 3,349 | 2,924 | $161K |
| 99223 | Prolong inpt eval add15 m | 9.6% | 848 | 734 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 683 | 611 | $18K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 369 | 174 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 179 | 126 | $5K |
| 94060 | <1% | 548 | 502 | $4K | |
| 94729 | <1% | 538 | 498 | $3K | |
| 94726 | <1% | 301 | 285 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 58 | 51 | $2K |
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 officialMARES, DAVID (PRESIDENT)