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
PRICE, UT 84501
33aNPI1689635914assigned 03/28/2006
33bProvider typePreferred Provider Organization
28Total paid$407K
24GClaims6,619
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 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 | 1,295 | $85K | |
| 2019 | 1,210 | $79K | |
| 2020 | 943 | $59K | |
| 2021 | 963 | $54K | |
| 2022 | 863 | $47K | |
| 2023 | 832 | $49K | |
| 2024incomplete | 513 | $35K |
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 | 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.