Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mary Ellen Madsen (NPI 1861556433)

Field	Value
Entity Type	Individual
Organization	Mary Ellen Madsen
Address	1285 S County Trl
City	East Greenwich
State	RI
ZIP	02818
Taxonomy	Physician Assistant
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicare	$10.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	70	$60	$4.2K
99203	The 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…	40	$70	$2.7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	30	$40	$1.1K
G0008	Administration of influenza virus vaccine	30	$30	$1.1K
99212	The 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,…	20	$40	$880
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	10	$30	$370

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Mary Ellen Madsen — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	941	1,950	70	$60	$7.4K
99203	239	580	30	$70	$3.6K
G0008	196	420	30	$30	$2.5K
99212	240	370	30	$40	$2.2K
87426	23	60	30	$30	$1.5K
87651	4	10	10	$30	$690

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minuteclinic Diagnostic Of Rhode Island, LLC	RI	Family Nurse Practitioner	$0	$1.2M
Magdi Salmon	RI	Internal Medicine Physician	$290	$576.1K
Matthew James	RI	Family Nurse Practitioner	$9.4K	$62.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joanne Lewis	RI	Pediatric Dentistry	$0	$2.1M
Healthy Babies, Happy Moms Inc.	RI	Customized Equipment (DME)	$0	$1.5M
Daniel Collins	RI	Family Medicine Physician	$24.4K	$902.1K
Sargent Rehabilitation Center, Inc.	RI	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$819.5K
Egp Inc	RI	Pediatrics Physician	$0	$708.2K
Bayside Endoscopy Center LLC	RI	Ambulatory Surgical Clinic/Center	$650.4K	$0
Robert Gianfrocco	RI	Emergency Medicine Physician	$14.7K	$633.9K
Joseph Wyllie	RI	Cardiovascular Disease Physician	$110.6K	$537.2K
Nathaniel Jellinek	RI	MOHS-Micrographic Surgery Physician	$638.1K	$0
Natasha Bica	RI	Family Medicine Physician	$0	$606.3K

Mary Ellen Madsen — Billing Profile & Reimbursement Data

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Mary Ellen Madsen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References