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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPhillip Madonia
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    Phillip Madonia — Billing Profile & Reimbursement Data

    NPI 1245440585 · Alabaster, AL · Nephrology Physician

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    Phillip Madonia is a nephrology physician provider located in Alabaster, Alabama. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPhillip Madonia
    Address644 2nd St Ne Ste 201
    CityAlabaster
    StateAL
    ZIP35007
    TaxonomyNephrology Physician
    NPI EnumeratedMay 23, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$120.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…600$60$35.5K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…110$220$22.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…210$70$15.3K
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…50$250$12.8K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$100$6.6K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…60$120$6.5K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…30$180$6K
    36905Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…10$330$4.6K
    90945The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.40$60$2.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$90$2.1K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3690581020$2,460$61.5K
    36902193040$910$48.2K
    9096098110140$260$44.7K
    992142,4437,330120$80$16.8K
    992331,6061,86080$90$13.4K
    992321862,530100$60$13.3K
    909611011040$210$10.6K
    36901122020$360$7.9K
    992136,1496,47080$50$7.9K
    909358110070$50$5.4K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Phillip Madonia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason TsaiALNephrology Physician$448K$0
    Harold GilesALNephrology Physician$182.6K$0
    Jeffrey GlazeALNephrology Physician$147.9K$0
    James LewisALNephrology Physician$144.6K$0
    Thomas WatsonALNephrology Physician$93.4K$0
    Katie BeanALNephrology Physician$77.9K$0
    Vinh NguyenALSurgery Physician$64.1K$0
    Jeffrey GuilbeauALPhysician Assistant$45.3K$0
    Dawn CostonALAdult Health Nurse Practitioner$34.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Phillip Madonia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shelby Oral Facial Surgery PCALOral & Maxillofacial Surgery (D.M.D.)$0$4M
    Bbh Sbmc, LLCALGeneral Acute Care Hospital$0$3.5M
    Raj PatelALMOHS-Micrographic Surgery Physician$2.7M$0
    Lauri M. Williams, Dmd, PCALPediatric Dentistry$0$2.4M
    Cytopath PCALAnatomic Pathology & Clinical Pathology Physician$77.9K$1.4M
    Warrior Wellness GroupALProfessional Counselor$0$1M
    Alabaster Pediatrics LLCALPediatrics Physician$0$1M
    Nopporn UnnoppetALRheumatology Physician$559.5K$0
    David FienoALCardiovascular Disease Physician$559.2K$0
    Clifton VanceALCardiovascular Disease Physician$497.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Phillip Madonia — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama