LUKE MADIGAN, MD
Orthopaedic Surgery Physician · KNOXVILLE, TN
Individual Active NPI 1942259569
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 334 | 1,327 | $695,480 | $191,570 | $148,122 |
| 2023 | 313 | 1,260 | $780,662 | $217,849 | $169,809 |
| 2022 | 317 | 1,347 | $613,678 | $203,730 | $158,658 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 412 | $116 | $87 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 227 | $35 | $26 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 196 | $82 | $61 |
| 72040 | X-ray of upper spine, 2-3 views | 67 | $35 | $25 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 64 | $153 | $115 |
| 72148 | Mri scan of lower spinal canal without contrast | 46 | $115 | $92 |
| 22614 | Fusion of additional segment of spine | 33 | $305 | $243 |
| 72082 | X-ray of entire middle and lower spine, 2-3 views | 20 | $63 | $45 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 16 | $203 | $163 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 16 | $173 | $138 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 15 | $494 | $393 |
| 72141 | Mri scan of upper spinal canal without contrast | 13 | $107 | $80 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 42088 | TN |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 42088 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.