NP / PA
Madison Primary Care, LLC
Madison Primary Care, LLC was paid $2.90M by Medicaid between Jan 2018 and Aug 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoMADISON PRIMARY CARE, LLC
RICHMOND, KY 40475
RICHMOND, KY 40475
33aNPI1730473745assigned 06/07/2011
33bProvider typePediatric Nurse Practitioner
28Total paid$2.90M
24GClaims92,127
24DCodes billed18
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Kentucky
Rank by total paid#3 of 27
Median peer was paid$37K
This provider vs. median79×
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 | 25,759 | $874K | |
| 2019 | 18,212 | $616K | |
| 2020 | 18,322 | $619K | |
| 2021 | 15,043 | $418K | |
| 2022 | 10,164 | $236K | |
| 2023 | 3,261 | $98K | |
| 2024incomplete | 1,366 | $43K |
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 | 67% | 60,263 | 44,980 | $1.94M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 27% | 27,246 | 14,724 | $774K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.3% | 949 | 843 | $66K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 535 | 323 | $30K |
| 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 | <1% | 434 | 411 | $21K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 374 | 320 | $16K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 778 | 591 | $12K |
| 93923 | <1% | 222 | 110 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 537 | 436 | $9K |
| 95923 | <1% | 120 | 116 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 185 | 162 | $4K |
| 95921 | <1% | 119 | 115 | $4K |
6 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 60 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 27 | $2K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 160 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 66 | $222.18 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $28.82 |
| J1094 | Injection, dexamethasone acetate, 1 mg | <1% | 26 | $15.36 |
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 officialUNDERWOOD, BRITTANY (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Horizon Healthcare Center LLC | Lexington, KY | $1.00M |
| Clark Medical Ventures, LLC | Winchester, KY | $237K |
| Primary Care of the Bluegrass, LLC | Crab Orchard, KY | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.