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    OpenPayerNPI Medicare & MedicaidArthur Madsen
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    Arthur Madsen — Billing Profile & Reimbursement Data

    NPI 1699745711 · Vernal, UT · Internal Medicine Physician

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    Arthur Madsen is a internal medicine physician provider located in Vernal, Utah. This profile covers 10 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
    OrganizationArthur Madsen
    Address175 North 100 West
    CityVernal
    StateUT
    ZIP84078
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 23, 2006

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

    Payer SourceTotal Paid
    Medicare$81K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…760$80$58.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$120$7.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$120$4K
    G0008Administration of influenza virus vaccine120$30$3.6K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…120$20$2.7K
    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…40$50$2.1K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…190$10$1.9K
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…80$1$310
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.30$10$150
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…30$1$120

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214754,08080$80$11.6K
    G043944499060$120$10.8K
    992156381,19040$110$7.5K
    992132,4603,68060$50$6.4K
    G00081571,06040$30$1.9K
    830365466050$10$980
    9301037245080$10$940
    85610356090$1$840
    9068656020$20$830
    930053012020$1$150

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Garth MuirUTInternal Medicine Physician$403.2K$24.3K
    Shaun ShurtliffUTFamily Medicine Physician$220.1K$0
    Eugene LarsenUTInternal Medicine Physician$212K$0
    Allan BelcherUTInternal Medicine Physician$200.3K$0
    J KeslerUTHospitalist Physician$77.3K$0
    Thomas BuchananUTNeurology Physician$43.2K$0
    Paul ThaynUTPediatrics Physician$42.5K$0
    Bruce WatkinsIDSurgery of the Hand (Surgery) Physician$35.8K$0
    Jeffrey McgeeNECertified Registered Nurse Anesthetist$31.7K$0
    Wade ButaudUTFamily Medicine Physician$24.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uintah Basin Tri-county Mental Health And Substance Abuse Local AuthorUTCommunity/Behavioral Health Agency$0$11.4M
    Ashley Valley Medical Center LLCUTGeneral Acute Care Hospital$0$4.4M
    Eastern Utah Early Intervention, Inc.UTDevelopmentally Disabled Services Day Training Agency$0$1.7M
    The Er Group, LLCUTEmergency Medicine Physician$0$1.4M
    Learning Solutions LLCUTAdolescent and Children Mental Health Clinic/Center$0$1.3M
    White Smiles Pediatric DentistryUTPediatric Dentistry$0$1.2M
    Vernal Urgent Care LLCUTUrgent Care Clinic/Center$0$1.2M
    Kolby LanceUTPediatric Dentistry$0$992.1K
    Dinosaurland PediatricsUTSpecialist$0$989K
    Pettit Pediatrics LLCUTPediatrics Physician$0$871K

    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. Utah Distribution
    Arthur Madsen — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah