Physician
Madison Emergency Physicians, SC
Madison Emergency Physicians, SC was paid $3.26M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.
33Billing provider infoMADISON EMERGENCY PHYSICIANS, SC
MADISON, WI 53715
MADISON, WI 53715
33aNPI1588646095assigned 11/18/2005
33bProvider typeEmergency Medicine Physician
28Total paid$3.26M
24GClaims135,225
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Wisconsin
Rank by total paid#4 of 230
Median peer was paid$7K
This provider vs. median454×
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 | 16,241 | $302K | |
| 2019 | 15,770 | $306K | |
| 2020 | 11,781 | $247K | |
| 2021 | 18,301 | $360K | |
| 2022 | 22,330 | $549K | |
| 2023 | 31,611 | $790K | |
| 2024incomplete | 19,191 | $708K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 49% | 53,373 | 48,774 | $1.59M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 37,952 | 35,112 | $1.04M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 15% | 25,158 | 22,884 | $480K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.1% | 16,822 | 14,874 | $70K |
| 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 | 2.0% | 1,547 | 1,367 | $64K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 225 | 187 | $8K |
| 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% | 51 | 44 | $3K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 33 | 27 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 64 | 57 | $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 officialFOLEY, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Children's Respiratory & Critical Care Specialists. P.A. | Minneapolis, MN | $7.53M |
| Winning Smiles Pediatric Dentistry | Amherst, NY | $1.48M |
| The Healing Center | Edgewood, MD | $50K |
| Michael G Foley MD PA | Crestview, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.