Active NPI 1356398358 Individual Practitioner Male Practitioner

Dr. Thomas Edward Madaj , MD

Internal Medicine • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Madaj, MD is a certified Internal Medicine practicing in Tulsa, OK. With approximately 41 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 1985, Dr. Madaj delivers high-quality medical care to the local community at 1245 S UTICA AVE.

Dr. Madaj does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1245 S Utica Ave
3rd Floor East

Tulsa, OK 741044214

Telephone 9183822510

Fax 9183822545

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

1985

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +21.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

326 Specialists

Practicing in Tulsa, OK (1179 Statewide)

Telehealth Adoption Rate

19.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Madaj (41 Years) 41 Yrs

Tulsa Specialty Average (20.0 Years) 20.0 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	120	100	$224.00	$118.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$241.00	$108.23
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	74	13	$122.00	$40.44
99213 Established patient office or other outpatient visit, typically 15 minutes	55	49	$158.00	$85.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	47	$90.00	$56.26
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	45	11	$90.00	$55.05
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	27	11	$106.00	$44.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	11	$51.00	$13.05
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	11	$84.00	$38.30

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	277	182	$224.00	$72.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$241.00	$36.10
99213 Established patient office or other outpatient visit, typically 15 minutes	110	94	$158.00	$58.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	65	$90.00	$52.98
36415 Insertion of needle into vein for collection of blood sample	56	56	$7.00	$6.74
G0008 Administration of influenza virus vaccine	56	56	$51.00	$28.68
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	55	55	$135.00	$75.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	16	$51.00	$13.07
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	34	11	$122.00	$43.70
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	12	$84.00	$37.93
99495 Transitional care management services for problem of at least moderate complexity	17	17	$340.00	$98.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	13	$111.00	$48.28
91322 Sarscov2 vac 50 mcg/0.5ml im	15	15	$262.00	$143.00
90480 Admn sarscov2 vacc 1 dose	15	15	$29.00	$28.42
G0009 Administration of pneumococcal vaccine	13	13	$47.00	$28.68
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	11	11	$37.00	$16.78

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	404	231	$224.00	$74.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$241.00	$39.25
36415 Insertion of needle into vein for collection of blood sample	118	111	$7.00	$2.90
99213 Established patient office or other outpatient visit, typically 15 minutes	109	85	$158.00	$63.06
G0008 Administration of influenza virus vaccine	98	96	$51.00	$27.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	82	$90.00	$50.61
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	90	89	$135.00	$69.21
0004A Fee covid-19 vac 1 res	40	39	$88.00	$36.21
0064A Adm sarscov2 50mcg/0.25mlbst	39	38	$88.00	$35.29
0124A Fee covid-19 vac 13 res	28	28	$88.00	$35.91
91312 Coronavirus vaccine 13	28	28	$0.01	$0.01
0134A Fee covid-19 vac 14 res	27	27	$81.00	$35.91
99495 Transitional care management services for problem of at least moderate complexity	25	20	$340.00	$110.39
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$35.00	$13.31
G0009 Administration of pneumococcal vaccine	20	20	$47.00	$27.29
77080 Dxa bone density measurement of hip, pelvis, spine	19	19	$151.26	$32.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$111.00	$49.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$303.00	$95.80
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$252.00	$119.88

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	431	256	$224.00	$96.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	228	228	$241.00	$124.71
99213 Established patient office or other outpatient visit, typically 15 minutes	153	128	$158.00	$68.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	79	$90.00	$39.50
G0008 Administration of influenza virus vaccine	89	88	$51.00	$15.55
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	81	81	$135.00	$64.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	12	$51.00	$13.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	23	$84.00	$38.31
99495 Transitional care management services for problem of at least moderate complexity	38	28	$340.00	$187.37
0004A Fee covid-19 vac 1 res	34	34	$88.00	$36.94
0064A Adm sarscov2 50mcg/0.25mlbst	32	32	$88.00	$36.94
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	29	29	$39.72	$15.92
G0009 Administration of pneumococcal vaccine	28	28	$47.00	$15.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	22	$111.00	$49.64
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$35.00	$13.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$252.00	$123.52
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$162.00	$34.88
90670 Pneumococcal vaccine for injection into muscle	14	14	$474.00	$219.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	332	211	$155.45	$56.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	203	$224.00	$82.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	236	236	$241.00	$108.97
G0008 Administration of influenza virus vaccine	118	117	$51.00	$15.62
90653 Vaccine for influenza for injection into muscle	106	105	$130.43	$57.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	62	$90.00	$35.35
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	21	$84.00	$38.48
G0009 Administration of pneumococcal vaccine	45	45	$47.00	$15.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$252.00	$118.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	27	$111.00	$50.49
99495 Transitional care management services for problem of at least moderate complexity	28	27	$340.00	$175.00
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$35.00	$15.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$303.00	$114.20
90670 Pneumococcal vaccine for injection into muscle	15	15	$474.00	$222.22
69209 Removal of impacted ear wax by washing	13	13	$38.46	$16.21
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$162.00	$36.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	470	295	$150.00	$57.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	195	$224.00	$87.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	224	224	$241.00	$108.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	96	$90.00	$34.27
G0008 Administration of influenza virus vaccine	99	99	$51.00	$15.46
90653 Vaccine for influenza for injection into muscle	90	90	$120.67	$58.18
G0009 Administration of pneumococcal vaccine	78	78	$47.00	$15.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	15	$51.00	$15.55
90670 Pneumococcal vaccine for injection into muscle	41	41	$426.37	$203.19
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	38	16	$84.00	$38.45
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	37	37	$236.86	$108.22
77080 Dxa bone density measurement of hip, pelvis, spine	36	36	$162.00	$36.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	30	$111.00	$50.12
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$35.00	$15.39
99495 Transitional care management services for problem of at least moderate complexity	27	25	$340.00	$154.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$224.00	$102.67
92250 Photography of the retina	18	18	$157.00	$45.24
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$41.82	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	324	186	$150.00	$59.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	123	$224.00	$86.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$241.00	$106.92
G0008 Administration of influenza virus vaccine	82	78	$51.00	$18.90
90653 Vaccine for influenza for injection into muscle	74	70	$111.00	$53.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	44	$90.00	$34.24
G0009 Administration of pneumococcal vaccine	35	35	$47.00	$18.90
99495 Transitional care management services for problem of at least moderate complexity	26	24	$340.00	$137.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$182.00	$105.59
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$35.00	$15.95
90670 Pneumococcal vaccine for injection into muscle	16	16	$381.00	$197.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	367	212	$150.00	$63.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	132	$224.00	$93.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	170	170	$241.00	$106.77
G0008 Administration of influenza virus vaccine	93	93	$51.00	$23.05
90653 Vaccine for influenza for injection into muscle	77	77	$111.00	$48.58
G0009 Administration of pneumococcal vaccine	43	43	$47.00	$23.05
90670 Pneumococcal vaccine for injection into muscle	32	32	$381.00	$185.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$90.00	$35.00
99495 Transitional care management services for problem of at least moderate complexity	25	22	$340.00	$152.56
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	12	$84.00	$38.39
92250 Photography of the retina	20	20	$157.00	$59.75
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$40.00	$16.39
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$35.00	$15.70
69210 Removal of impacted ear wax	12	12	$103.00	$46.13
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$182.00	$94.49

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 15759

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100090220A (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners

Dr. Jaclyn Jones , DO

Orthopaedic Surgery

NPI 1003001785

Doctor of Osteopathic Medicine (D.O.)

Abigail Davison , PA-C

Physician Assistant

NPI 1023659281

Physician Assistant (Certified)

Dr. Dennis Mcclary , DO

Internal Medicine

NPI 1053365668

Doctor of Osteopathic Medicine (D.O.)

Helen Hoggard , APRN-CNP

Nurse Practitioner - Family

NPI 1124426978

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Bradley Hoyt , MD

Internal Medicine

NPI 1174577415

Doctor of Medicine (M.D.)

Dr. Steven Landgarten , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1295772580

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2015

Registered at 1245 S UTICA AVE, 3RD FLOOR EAST, TULSA, OK 741044214 (Tel: 9183822510)

📍

Updated Business Mailing Address September 21, 2015

Registered at 1245 S UTICA AVE, 3RD FLOOR EAST, TULSA, OK 741044214 (Tel: 9183822510)

👤

Provider Name / Credentials Updated September 21, 2015

Recorded as THOMAS MADAJ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2015

Internal Medicine (License #15759 in OK)

🟢

Initial NPI Registration & Enumeration May 27, 2006

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: 1356398358

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: September 21, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1245 S Utica Ave, 3rd Floor East

Tulsa, OK 741044214

Phone: 9183822510

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.