Erick Madrigal, MD, Mba, INC.
Erick Madrigal, MD, Mba, INC. was paid $14.15M by Medicaid between Feb 2021 and Dec 2024, across 72 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoERICK MADRIGAL, MD, MBA, INC.
LINDSAY, CA 93247
LINDSAY, CA 93247
33aNPI1619519246assigned 10/15/2019
33bProvider typeCase Manager/Care Coordinator
28Total paid$14.15M
24GClaims118,240
24DCodes billed72
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#123 of 435
Median peer was paid$2.89M
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2021 | 2,995 | $394K | |
| 2022 | 24,508 | $2.94M | |
| 2023 | 40,046 | $4.56M | |
| 2024incomplete | 50,691 | $6.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 43,222 | 29,722 | $13.42M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 3.4% | 1,821 | 1,196 | $485K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 36,137 | 27,004 | $143K |
| 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 | <1% | 12,415 | 10,189 | $45K |
| G0466 | Community health center visit, new patientFederally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 40 | 40 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,518 | 1,478 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,751 | 2,289 | $8K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,287 | 1,505 | $7K |
| 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% | 685 | 667 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 135 | 101 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,366 | 2,014 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 270 | 268 | $2K |
60 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 150 | $2K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 154 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 70 | $1K |
| 92551 | <1% | 726 | $902.20 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,037 | $889.98 |
| 98940 | <1% | 236 | $886.16 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 79 | $823.20 |
| 59425 | <1% | 124 | $605.21 | |
| 96127 | <1% | 616 | $409.80 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 69 | $394.65 |
| 82947 | <1% | 635 | $306.05 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 964 | $293.40 |
| 85018 | <1% | 1,104 | $291.56 | |
| 93000 | <1% | 149 | $288.00 | |
| 81003 | <1% | 1,006 | $229.26 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 66 | $223.97 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 79 | $219.32 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 310 | $175.01 |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 842 | $157.75 |
| 90686 | <1% | 13 | $114.58 | |
| 99173 | <1% | 661 | $110.95 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 195 | $103.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 252 | $96.53 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $92.48 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 17 | $89.22 |
| 82962 | <1% | 1,505 | $74.60 | |
| 20552 | <1% | 30 | $52.49 | |
| 0011A | <1% | 13 | $50.00 | |
| 90674 | <1% | 12 | $42.75 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 403 | $35.33 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 33 | $15.67 |
| 81025 | <1% | 36 | $14.00 | |
| 99000 | <1% | 369 | $3.27 | |
| 99397 | 0% | 25 | $0.00 | |
| 1160F | 0% | 68 | $0.00 | |
| 90756 | 0% | 44 | $0.00 | |
| 96160 | 0% | 112 | $0.00 | |
| 3078F | 0% | 62 | $0.00 | |
| 0502F | 0% | 61 | $0.00 | |
| 99201 | 0% | 29 | $0.00 | |
| 3077F | 0% | 144 | $0.00 | |
| 1159F | 0% | 74 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 3046F | 0% | 17 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 104 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 69 | $0.00 |
| 3079F | 0% | 55 | $0.00 | |
| 3044F | 0% | 27 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 21 | $0.00 |
| Z1034 | 0% | 312 | $0.00 | |
| 36416 | 0% | 793 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 55 | $0.00 |
| 1036F | 0% | 25 | $0.00 | |
| 1125F | 0% | 53 | $0.00 | |
| 1126F | 0% | 134 | $0.00 | |
| 3074F | 0% | 60 | $0.00 | |
| 99459 | 0% | 202 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 36 | $0.00 |
| 3075F | 0% | 14 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 13 | $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)
Parent organizationERICK MADRIGAL MD MBA INC
| Provider | Location | Paid |
|---|---|---|
| Erick Madrigal, MD, Mba, INC. | Porterville, CA | $253K |
| 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.