Madison Street Provider Network INC
Madison Street Provider Network INC was paid $717K by Medicaid between Jan 2018 and Jul 2024, across 12 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 29% of everything it billed.
DENVER, CO 80206
Next to other Optometrist providers in Colorado
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,723 | $199K | |
| 2019 | 1,340 | $83K | |
| 2020 | 733 | $77K | |
| 2021 | 1,593 | $184K | |
| 2022 | 903 | $113K | |
| 2023 | 368 | $55K | |
| 2024incomplete | 33 | $5K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 29% | 188 | 167 | $207K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 25% | 717 | 543 | $178K |
| 67028 | Intravitreal injection of a pharmacologic agent | 17% | 1,376 | 1,060 | $125K |
| 92134 | 6.2% | 2,322 | 2,054 | $45K | |
| 00142 | 5.1% | 325 | 286 | $36K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.9% | 592 | 546 | $35K |
| 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 | 4.8% | 416 | 371 | $34K |
| 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 | 4.0% | 570 | 510 | $28K |
| J9035 | Injection, bevacizumab, 10 mg | 1.8% | 326 | 267 | $13K |
| 92136 | 1.6% | 664 | 574 | $11K | |
| 92133 | <1% | 168 | 154 | $4K | |
| 76514 | <1% | 29 | 27 | $160.95 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Katzen Medical Associates, PC | Lutherville, MD | $5.61M |
| Delaware Eye Care Center PA | Dover, DE | $5.19M |
| Inland Eye Specialists a Medical Corp | Hemet, CA | $4.76M |
| Shasta Eye Medical Group INC | Redding, CA | $2.68M |
| Madison Street Surgery Center, LLC | Denver, CO | $636K |
| Dulaney Eye Institute, LLC | Towson, MD | $504K |
| Shasta Eye Surgeons INC | Redding, CA | $166K |
| Eye Surgery Associates LLC | Hollywood, FL | $121K |
| Inland Eye Specialists a Medical Corp | Murrieta, CA | $80K |
| Inland Eye Specialists a Medical Corp | Murrieta, CA | $48K |
| Colorado Eye Center, LLC | Broomfield, CO | $31K |
| Inland Eye Specialists a Medical Corp | Hemet, CA | $30K |
| Delaware Eye Surgery Center, LLC | Rehoboth Beach, DE | $20K |
| Midwest Eye Center | Calumet City, IL | $13K |
| George B Neal MD PC | Bedford, NH | $7K |
| Inland Eye Specialists a Medical Corp | Fallbrook, CA | $3K |
| Inland Eye Specialists a Medical Corp | Temecula, CA | $2K |
| Mid Florida Eye Center PA | Mount Dora, FL | $922.29 |
| Katzen Medical Associates, PC | Parkton, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.