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    OpenPayerNPI Medicare & MedicaidJustin Madson
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    Justin Madson — Billing Profile & Reimbursement Data

    NPI 1528217395 · Omaha, NE · Dermatology Physician

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    Justin Madson is a dermatology physician provider located in Omaha, Nebraska. This profile covers 37 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
    OrganizationJustin Madson
    Address8601 West Dodge Rd.
    CityOmaha
    StateNE
    ZIP68114
    TaxonomyDermatology Physician
    NPI EnumeratedSeptember 16, 2008

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

    Payer SourceTotal Paid
    Medicare$404.5K
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,540$50$81.7K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…120$460$56.2K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,300$40$45.4K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…620$70$42.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,060$30$33.9K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.90$310$28.8K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…3,350$10$16.7K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…310$50$14.7K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.190$60$11K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…150$60$9.2K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173111320170$410$86.1K
    8830569100860$30$35.7K
    173121220100$290$34K
    992142,4923,210110$70$14.9K
    171103110120$60$10.7K
    1110239110120$50$8.7K
    17004256040$100$8.4K
    170004170110$30$8.2K
    12032225030$190$8K
    99213103,22090$50$7.9K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason PapenfussNEDermatology Physician$539K$0
    Melissa DarlingNEDermatology Physician$501.5K$0
    Collin ParkerNEDermatology Physician$489.4K$0
    Midwest Dermatology Clinic, P.C.NEDermatology Physician$0$351.9K
    Alexa PaleyNEPhysician Assistant$5.2K$0
    Jessica ReynenNEPhysician Assistant$1.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Hospital & Medical CenterNEChildren's Hospital$0$89.8M
    Children's PhysiciansNEPediatrics Physician$0$39.4M
    Nebraska Pediatric Practice, IncNEPediatrics Physician$0$29M
    Physicians Clinic IncNEFamily Medicine Physician$0$20.5M
    Nebraska Methodist HospitalNEGeneral Acute Care Hospital$0$14.5M
    Smiles 4 Kids PCNEGeneral Practice Dentistry$0$11.5M
    Children's HospitalNEPediatric Emergency Medicine (Pediatrics) Physician$0$8.4M
    Nebraska Methodist HospitalNEEmergency Medicine Physician$0$5.3M
    Unmc College Of DentistryNEDentist$0$4.8M
    Stones Worth Stepping, P.C.NEOccupational Therapist$0$4.7M

    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. Nebraska Distribution
    Justin Madson — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska