Erick Madrigal, MD, Mba, INC.
Erick Madrigal, MD, Mba, INC. was paid $253K by Medicaid between Jan 2018 and Nov 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoERICK MADRIGAL, MD, MBA, INC.
PORTERVILLE, CA 93257
PORTERVILLE, CA 93257
33aNPI1609124692assigned 08/22/2012
33bProvider typeCase Manager/Care Coordinator
28Total paid$253K
24GClaims28,970
24DCodes billed58
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#299 of 435
Median peer was paid$2.89M
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 429 | $164.21 | |
| 2019 | 577 | $387.59 | |
| 2020 | 1,740 | $324.70 | |
| 2021 | 2,512 | $2K | |
| 2022 | 3,893 | $35K | |
| 2023 | 3,690 | $36K | |
| 2024incomplete | 16,129 | $180K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 7,220 | 5,866 | $101K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 3,467 | 2,999 | $61K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 327 | 326 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 810 | 668 | $10K |
| 99454 | 3.9% | 1,920 | 1,897 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.5% | 923 | 821 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 75 | 74 | $6K |
| 99490 | Ccm add 20min | 2.3% | 3,385 | 3,366 | $6K |
| 99457 | 2.2% | 2,016 | 2,010 | $6K | |
| 99458 | 2.1% | 1,437 | 1,433 | $5K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 253 | 173 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 100 | 100 | $3K |
46 more codes
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 1.2% | 138 | $3K |
| 98940 | <1% | 224 | $2K | |
| 92551 | <1% | 341 | $2K | |
| 99459 | <1% | 131 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 22 | $1K |
| 96127 | <1% | 469 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 65 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 103 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 185 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 32 | $1K |
| 20552 | <1% | 28 | $881.83 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 16 | $715.00 |
| 82947 | <1% | 412 | $647.09 | |
| 99173 | <1% | 291 | $631.71 | |
| 85018 | <1% | 494 | $606.74 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 18 | $465.92 |
| 81003 | <1% | 448 | $425.98 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 154 | $410.11 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 26 | $228.36 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $224.34 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 196 | $214.30 |
| 93000 | <1% | 16 | $212.10 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 52 | $192.30 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 43 | $185.33 |
| 59425 | <1% | 27 | $181.44 | |
| 96160 | <1% | 53 | $131.20 | |
| 99439 | <1% | 507 | $84.21 | |
| 81025 | <1% | 31 | $74.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 29 | $37.37 |
| 82962 | <1% | 130 | $26.97 | |
| 99453 | <1% | 32 | $8.10 | |
| 36416 | <1% | 610 | $1.15 | |
| 3078F | 0% | 145 | $0.00 | |
| 0502F | 0% | 192 | $0.00 | |
| 3077F | 0% | 46 | $0.00 | |
| 1160F | 0% | 82 | $0.00 | |
| 1159F | 0% | 90 | $0.00 | |
| 83037 | 0% | 16 | $0.00 | |
| 1126F | 0% | 188 | $0.00 | |
| 1036F | 0% | 124 | $0.00 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 462 | $0.00 |
| 3074F | 0% | 145 | $0.00 | |
| 3075F | 0% | 23 | $0.00 | |
| 1125F | 0% | 83 | $0.00 | |
| 3079F | 0% | 80 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEYVA, BRANDY (CLINIC MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Erick Madrigal, MD, Mba, INC. | Lindsay, CA | $14.15M |
| Erick Madrigal, MD, Mba INC. | Woodlake, CA | $184K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.