Madison Community Hospital
Madison Community Hospital was paid $1.04M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoMADISON COMMUNITY HOSPITAL
MADISON, SD 57042
MADISON, SD 57042
33aNPI1588644058assigned 01/19/2006
33bProvider typeDiabetes Educator Registered Nurse
28Total paid$1.04M
24GClaims38,836
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
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 | 8,576 | $186K | |
| 2019 | 6,335 | $144K | |
| 2020 | 2,788 | $63K | |
| 2021 | 5,095 | $154K | |
| 2022 | 5,180 | $166K | |
| 2023 | 5,608 | $147K | |
| 2024incomplete | 5,254 | $176K |
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 | 43% | 16,406 | 8,261 | $447K |
| 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 | 13% | 4,690 | 1,649 | $139K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 2,031 | 1,182 | $123K |
| W0037 | 6.5% | 3,128 | 3,128 | $68K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.6% | 1,197 | 883 | $58K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.9% | 291 | 271 | $30K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 1,981 | 1,841 | $29K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.4% | 503 | 453 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 188 | 177 | $12K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 1.1% | 391 | 360 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 713 | 638 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 209 | 168 | $11K |
38 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 249 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 173 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 126 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 704 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 274 | $5K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 186 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,321 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 198 | $5K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 194 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 147 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 45 | $3K |
| 87081 | <1% | 438 | $2K | |
| 90686 | <1% | 372 | $2K | |
| 87276 | <1% | 120 | $2K | |
| 87275 | <1% | 120 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 169 | $2K |
| 71045 | Radiologic examination, chest; single view | <1% | 38 | $1K |
| 90688 | <1% | 394 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 28 | $1K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 104 | $871.38 |
| 80053 | Comprehensive metabolic panel | <1% | 79 | $755.15 |
| 81001 | <1% | 199 | $554.22 | |
| 0012A | <1% | 12 | $476.04 | |
| 87077 | <1% | 36 | $355.08 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $294.12 |
| 0011A | <1% | 13 | $288.01 | |
| A0425 | Ground mileage, per statute mile | <1% | 18 | $283.42 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 26 | $223.33 |
| 90715 | <1% | 12 | $209.20 | |
| 80061 | Lipid panel | <1% | 14 | $187.46 |
| 90670 | <1% | 83 | $169.96 | |
| 90633 | <1% | 57 | $61.26 | |
| 90685 | <1% | 22 | $47.28 | |
| 90723 | 0% | 15 | $0.00 | |
| 90680 | 0% | 15 | $0.00 | |
| 90651 | 0% | 46 | $0.00 | |
| 90461 | 0% | 1,020 | $0.00 | |
| 90734 | 0% | 28 | $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 officialMALLETT, TERESA (CEO)