Physician
Madera Family Medical Group INC.
Madera Family Medical Group INC. was paid $1.85M by Medicaid between Jan 2018 and Nov 2024, across 75 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoMADERA FAMILY MEDICAL GROUP INC.
MADERA, CA 93637
MADERA, CA 93637
33aNPI1629172994assigned 09/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.85M
24GClaims553,860
24DCodes billed75
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#73 of 2,679
Median peer was paid$13K
This provider vs. median147×
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 | 88,879 | $256K | |
| 2019 | 84,513 | $250K | |
| 2020 | 72,706 | $244K | |
| 2021 | 79,787 | $288K | |
| 2022 | 85,007 | $292K | |
| 2023 | 81,349 | $288K | |
| 2024incomplete | 61,619 | $230K |
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 | 21% | 115,611 | 96,933 | $392K |
| 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 | 18% | 23,261 | 21,656 | $333K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 10,349 | 9,689 | $214K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.2% | 5,089 | 5,019 | $170K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.2% | 1,781 | 1,756 | $169K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.3% | 11,514 | 11,217 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 16,661 | 16,449 | $71K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 12,974 | 12,810 | $57K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 12,686 | 12,353 | $49K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 2.2% | 8,744 | 8,098 | $40K |
| 0001A | 2.0% | 942 | 906 | $36K | |
| 0002A | 1.9% | 907 | 893 | $36K |
63 more codes
| 43762 | 1.4% | 315 | $26K | |
| 92551 | 1.3% | 39,082 | $24K | |
| 90670 | <1% | 8,616 | $15K | |
| D1206 | Topical application of fluoride varnish | <1% | 17,878 | $13K |
| 90680 | <1% | 6,270 | $13K | |
| 90688 | <1% | 19,070 | $11K | |
| 90698 | <1% | 5,010 | $10K | |
| 90700 | <1% | 7,091 | $8K | |
| 91065 | <1% | 1,390 | $7K | |
| 90744 | <1% | 3,958 | $7K | |
| 85018 | <1% | 50,995 | $6K | |
| 90648 | <1% | 3,942 | $6K | |
| 90685 | <1% | 4,961 | $5K | |
| 90713 | <1% | 4,068 | $5K | |
| 81002 | <1% | 40,424 | $4K | |
| 90716 | <1% | 4,799 | $3K | |
| 99188 | <1% | 4,126 | $3K | |
| 90677 | <1% | 1,318 | $3K | |
| 86580 | <1% | 28,753 | $3K | |
| 43760 | <1% | 92 | $3K | |
| 90707 | <1% | 4,620 | $2K | |
| 90715 | <1% | 3,628 | $2K | |
| 90633 | <1% | 4,628 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 55 | $2K |
| 90620 | <1% | 1,846 | $2K | |
| 0003A | <1% | 44 | $2K | |
| 90734 | <1% | 2,803 | $1K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 13 | $1K |
| 90649 | <1% | 3,932 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 842 | $1K |
| 94060 | <1% | 680 | $1K | |
| 99173 | <1% | 34,016 | $1K | |
| 99460 | <1% | 599 | $892.26 | |
| 90619 | <1% | 1,784 | $873.00 | |
| 90651 | <1% | 874 | $786.25 | |
| 70210 | <1% | 460 | $707.24 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,336 | $677.31 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,829 | $647.06 |
| 90621 | <1% | 1,203 | $552.80 | |
| 90686 | <1% | 1,846 | $548.62 | |
| 96156 | <1% | 2,170 | $512.40 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,143 | $492.24 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 34 | $481.32 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,720 | $469.63 |
| 90656 | <1% | 912 | $467.81 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 389 | $239.88 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $182.68 |
| 91034 | <1% | 12 | $161.35 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 311 | $98.01 |
| 17000 | <1% | 13 | $68.92 | |
| 76140 | <1% | 47 | $18.41 | |
| 94760 | <1% | 1,126 | $5.53 | |
| 99381 | 0% | 225 | $0.00 | |
| 94200 | 0% | 147 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | $0.00 |
| 36416 | 0% | 13 | $0.00 | |
| 99401 | 0% | 659 | $0.00 | |
| 74018 | 0% | 70 | $0.00 | |
| 86677 | 0% | 19 | $0.00 | |
| 86756 | 0% | 25 | $0.00 | |
| 90662 | 0% | 47 | $0.00 | |
| 91300 | 0% | 20 | $0.00 | |
| 69210 | 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 officialNAZ, AFTAB (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Madera Family Medical Group Lab | Madera, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.