Active NPI 1518373059 Individual Practitioner Female Practitioner

Madelyn Almonte , PA-C

Physician Assistant • Lagrange, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Madelyn Almonte, PA-C is a certified Physician Assistant practicing in Lagrange, GA. With approximately 13 years of clinical experience since completing medical education in 2013, Madelyn Almonte delivers high-quality medical care to the local community at 1503 ORCHARD HILL RD.

Madelyn Almonte is affiliated with Wellstar Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit 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's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1503 Orchard Hill Rd

Lagrange, GA 302405709

Telephone 7068126131

Fax 7068823982

Associated Practice Facility / Clinic

🏢 Connecticut General Life Insurance Company Facility NPI 1851716195

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lagrange, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +4.7 yrs vs City Avg

City Avg: 8.3 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Lagrange, GA (4726 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Almonte (13 Years) 13 Yrs

Lagrange Specialty Average (8.3 Years) 8.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	132	$297.00	$79.47
G2211 Visit 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's	87	65	$35.79	$13.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$408.15	$110.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	109	$282.78	$78.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$279.50	$101.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$370.00	$105.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	106	$232.49	$103.18
36415 Insertion of needle into vein for collection of blood sample	18	16	$13.00	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	99	$215.00	$106.18
36415 Insertion of needle into vein for collection of blood sample	73	37	$13.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	91	$215.00	$89.52
36415 Insertion of needle into vein for collection of blood sample	12	11	$13.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	142	$215.00	$87.78
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$147.00	$60.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$288.00	$118.32

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 007102

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

1514 Vernon Rd, Lagrange, GA 302404131

Phone: 7068807222

Wellstar Medical Group Llc

1510 Vernon Rd, Lagrange, GA 302404131

Phone: 7068453905

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2016

Registered at 1503 ORCHARD HILL RD, LAGRANGE, GA 302405709 (Tel: 7068126131)

📍

Updated Business Mailing Address March 15, 2016

Registered at 1503 ORCHARD HILL RD, LAGRANGE, GA 302405709 (Tel: 7068126131)

👤

Provider Name / Credentials Updated March 15, 2016

Recorded as MADELYN ALMONTE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2016

Physician Assistant (License #007102 in GA)

🟢

Initial NPI Registration & Enumeration July 04, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518373059

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 04, 2014

Last Update: March 15, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1503 Orchard Hill Rd

Lagrange, GA 302405709

Phone: 7068126131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.