Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Managed care

Madsen, Edward

Madsen, Edward was paid $407K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoMADSEN, EDWARD
PRICE, UT 84501
33aNPI1689635914assigned 03/28/2006
28Total paid$407K
24GClaims6,619
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,295$85K
20191,210$79K
2020943$59K
2021963$54K
2022863$47K
2023832$49K
2024incomplete513$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 68% 4,561 3,426 $276K
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% 1,018 844 $87K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.8% 426 360 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.7% 179 146 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 86 83 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 267 224 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 12 $883.30
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 70 66 $254.48

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.