Madison Primary Care LLC

Madison Primary Care LLC was paid $11K by Medicaid between Jan 2018 and Apr 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoMADISON PRIMARY CARE LLC
MADISON, AL 35758

33aNPI1881993210assigned 03/24/2011

33bProvider typeFamily Medicine Physician

28Total paid$11K

24GClaims268

24DCodes billed2

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Family Medicine Physician providers in Alabama

Rank by total paid#304 of 455

Median peer was paid$57K

This provider vs. median0.2×

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	97	$5K
2019	54	$2K
2021	45	$1K
2022	59	$2K
2023	13	$616.81

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	85%	207	162	$10K
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	15%	61	48	$2K

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 officialBODLA, ADEEL (PHYSICIAN)