Madelyn Luptowski , SWT
Social Worker • Cincinnati, OH
311 Martin Luther King Dr E
Cincinnati, OH 452192581
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 20, 2019; this date does not establish years in practice.
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Published CMS data list 162 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 90834 — Psychotherapy: 162 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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More Medicare Part B services than 65% of clinicians listed under Social Worker in Ohio (2024, 69 clinicians with data). Median for this group: 137. Middle half: 84 to 186.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 64 in 2021 to 162 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2024.
Practice Location & Contact Primary Location
311 Martin Luther King Dr E
Cincinnati, OH 452192581
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Social Worker: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
20 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $12,067 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $9,020 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Madelyn Luptowski as eligible to order or refer durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Cincinnati and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Social Worker in Ohio (2024, 69 clinicians with data). Median for this group: 137. Middle half: 84 to 186.
Too few clinicians listed under Social Worker in Cincinnati have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Social Worker in Ohio (2024, 69 clinicians with data). Median for this group: $12,067. Middle half: $7,753 to $16,809.
Too few clinicians listed under Social Worker in Cincinnati have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Social Worker in Ohio (2024, 69 clinicians with data). Median for this group: $9,065. Middle half: $5,574 to $12,707.
Too few clinicians listed under Social Worker in Cincinnati have Medicare Part B data for 2024 to compare.
1,191 active clinicians are listed under Social Worker with a practice address in Cincinnati, OH (11,336 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Cincinnati
0.8% of these 1,191 clinicians have the CMS telehealth indicator.
2% of these 1,191 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 153% from 64 in 2021 to 162 in 2024.
- 2021: 64
- 2023: 195
- 2024: 162
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Medicare-allowed amount
Medicare-allowed amount increased 116% from $5,592 in 2021 to $12,067 in 2024.
- 2021: $5,592
- 2023: $15,153
- 2024: $12,067
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Paid by Medicare
Paid by Medicare increased 102% from $4,474 in 2021 to $9,020 in 2024.
- 2021: $4,474
- 2023: $11,766
- 2024: $9,020
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2021–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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90834
Psychotherapy, 45 minutes
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162 | 18 | $101.67 | $74.49 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-01-27NUCC Taxonomy Code: 104100000X
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Doctor of Nursing Practice, Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)
Nurse Practitioner - Psychiatric/Mental Health
Advanced Practice Registered Nurse
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2135 DANA AVE, STE 410, CINCINNATI, OH 452071327 (Tel: 5132411811)
NPI status registered as active in NPPES database
Registered at 311 MARTIN LUTHER KING DR E, CINCINNATI, OH 452192581 (Tel: 5134755300)
Registered at 28 VALESIDE DR, COVINGTON, KY 410179427 (Tel: 5133029472)
Recorded as MADELYN LUPTOWSKI, SWT
Social Worker (license number reported to NPPES: OH S.1800657-TRNE)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Social Workers in Cincinnati
All Social Workers in CincinnatiMailing Address
2135 Dana Ave, Ste 410
Cincinnati, OH 452071327
Phone: 5132411811