Madison Medical LLC
Madison Medical LLC was paid $7.36M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is L4361, Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf — 25% of everything it billed.
ALBUQUERQUE, NM 87109
Next to other Durable Medical Equipment & Medical Supplies providers in New Mexico
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 | 9,783 | $729K | |
| 2019 | 13,449 | $1.14M | |
| 2020 | 9,364 | $842K | |
| 2021 | 11,949 | $975K | |
| 2022 | 12,094 | $1.02M | |
| 2023 | 12,808 | $1.14M | |
| 2024incomplete | 11,266 | $1.51M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L4361 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf | 25% | 7,482 | 7,394 | $1.84M |
| L3809 | Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type | 21% | 7,692 | 7,406 | $1.56M |
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 13% | 24,261 | 24,094 | $980K |
| L1820 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 9.2% | 5,695 | 5,563 | $679K |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 7.8% | 11,338 | 10,484 | $574K |
| L3670 | Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf | 5.9% | 4,474 | 4,390 | $432K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 5.7% | 5,371 | 5,329 | $422K |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 4.7% | 4,943 | 4,898 | $347K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 4.4% | 3,521 | 3,488 | $326K |
| L1833 | Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf | 1.6% | 234 | 229 | $118K |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | <1% | 1,214 | 1,192 | $20K |
| L3260 | Surgical boot/shoe, each | <1% | 1,292 | 1,273 | $17K |
6 more codes
| A4565 | Slings | <1% | 2,839 | $17K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | <1% | 178 | $12K |
| L0172 | Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf | <1% | 39 | $5K |
| L1821 | Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, off the shelf | <1% | 39 | $3K |
| A4570 | Splint | <1% | 89 | $2K |
| L0621 | Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf | <1% | 12 | $899.30 |
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 |
|---|---|---|
| Breg, INC. | Carlsbad, CA | $49.58M |
| Breg, INC. | Tempe, AZ | $3.59M |
| Duratech Medical, INC. | Murfreesboro, TN | $3.31M |
| Pams PLLC | Bentonville, AR | $1.55M |
| Breg, INC. | Elmhurst, IL | $893K |
| Team Medical, INC. | Oklahoma City, OK | $843K |
| Texas Orthotics INC | Southlake, TX | $296K |
| Optimusmed, LLC | Lawrenceville, GA | $26K |
| Breg, INC. | Mount Laurel, NJ | $22K |
| Duratech Medical, INC. | Madison, AL | $15K |
| Breg, INC. | Brooklyn, NY | $282.02 |
| Arimed Orthotics Prosthetics & Pedorthics, INC | Staten Island, NY | $103.66 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.