Madsen, Dorothy

Madsen, Dorothy was paid $839K by Medicaid between Jan 2018 and Mar 2023, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoMADSEN, DOROTHY
NORTH ADAMS, MA 01247

33aNPI1770808388assigned 04/07/2010

33bProvider typePediatrics Physician

28Total paid$839K

24GClaims18,963

24DCodes billed27

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#91 of 1,273

Median peer was paid$24K

This provider vs. median35×

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	2,380	$99K
2019	3,977	$164K
2020	3,169	$135K
2021	4,376	$188K
2022	4,191	$206K
2023	870	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	27%	2,462	2,369	$226K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	3,957	3,735	$222K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	9.3%	1,518	1,481	$78K
90460	Immunization administration through 18 years of age via any route, first or only component	7.3%	1,745	1,371	$61K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.2%	645	645	$52K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.9%	396	396	$33K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	3.1%	323	320	$26K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	2.6%	2,419	2,415	$22K
90461		2.5%	545	545	$21K
99177		2.4%	589	589	$20K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.0%	214	213	$17K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.7%	1,353	1,339	$15K

15 more codes

G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1.4%	508	$12K
96127		1.4%	1,000	$12K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	201	$6K
87634		<1%	57	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	163	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	251	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	210	$2K
99173		<1%	57	$1K
0002A		<1%	21	$963.48
99051		<1%	46	$761.76
92558		<1%	73	$708.05
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$632.50
85018		<1%	157	$358.16
94664		<1%	13	$88.27
85013		<1%	28	$68.32

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.