Physician

Amy T Madison, MD

According to 2025 Medicare claims, Amy Madison, MD (NPI: 1699904912) practices rheumatology in the Bend, OR market, with the plurality of this provider's patient population coming from Deschutes, OR. This provider's primary affiliated billing organization is BEND MEMORIAL CLINIC PC (NPI: 1699827477; TIN: 680637976) and primary practice location at 97701-6051. Madison is affiliated with the VillageMD Primary Providers ACO IV, LLC (ACO ID: D0100), participating under the REACH model.

Madison's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 172 traditional Medicare patients, billed 13,512 HCPCS/CPT codes, and received $247,528 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 491 prescription claims across 116 beneficiaries totaling $634,248 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 1 records totaling $119. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $109,420 to $247,528. In contrast, Part D prescription costs have risen steadily, from $166,988 to $634,248. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$719K$1.4M2015 Medicare payment: $109,420 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,214,884 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,438,721 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $940,176 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $731,040 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $913,919 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,053,366 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $87,349 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,464 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $247,528 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151185,651$109,420
201630765,533$1,214,884
201736273,318$1,438,721
201833647,836$940,176
201925237,049$731,040
202031149,750$913,919
202139163,893$1,053,366
20222444,763$87,349
20233042$1,464
202417213,512$247,528

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$532K$1.1M2015 Drug cost: $166,988 (USD; Tot_Drug_Cst)2016 Drug cost: $313,991 (USD; Tot_Drug_Cst)2017 Drug cost: $456,053 (USD; Tot_Drug_Cst)2018 Drug cost: $603,452 (USD; Tot_Drug_Cst)2019 Drug cost: $551,089 (USD; Tot_Drug_Cst)2020 Drug cost: $675,267 (USD; Tot_Drug_Cst)2021 Drug cost: $806,328 (USD; Tot_Drug_Cst)2022 Drug cost: $1,064,697 (USD; Tot_Drug_Cst)2023 Drug cost: $457,868 (USD; Tot_Drug_Cst)2024 Drug cost: $634,248 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201555420$166,988
2016102735$313,991
20171141,115$456,053
2018981,074$603,452
2019108877$551,089
20201271,062$675,267
20211411,017$806,328
2022137878$1,064,697
202383276$457,868
2024116491$634,248

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more5858$163
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more5798$133
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's77139$12
36415Insertion of needle into vein for collection of blood sample106208$9
86140Measurement c-reactive protein for detection of infection or inflammation61133$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab24672$159,628
Cosentyx Sensoready (2 Pens)Secukinumab16448$116,448
Cimzia (2 Pack)Certolizumab Pegol13562$109,800
Hydroxychloroquine SulfateHydroxychloroquine Sulfate805,584$4,270
CelecoxibCelecoxib251,523$2,649

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$119Alexion Pharmaceuticals, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Amy T. Madison, MD?

Tedicare shows public-source Medicare data for Amy T. Madison, MD (NPI 1699904912), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Amy T. Madison, MD have ACO affiliation data?

Amy T. Madison, MD is shown with ACO affiliation data for VillageMD Primary Providers ACO IV, LLC (REACH, ACO ID D0100).

What billing organization is linked to Amy T. Madison, MD?

Amy T. Madison, MD is linked to BEND MEMORIAL CLINIC PC (billing NPI 1699827477) in the available physician profile data.

Does Amy T. Madison, MD have Open Payments data?

Amy T. Madison, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.