PROVIDER PROFILE · NPI 1023110103

Nelson MadrilejoMD

Internal MedicineBakersfield, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,985

Unique beneficiaries

—

Total services

4,858

Distinct HCPCS

Medicare payment

$223K

Peer benchmark

Total Medicare services vs. 10,499 Internal Medicine providers in CA — top quintile (cohort median 531).

PRESCRIBING · PART D · 2024

Total Rx claims

3,234

Beneficiaries

—

Total drug cost

$2.9M

Distinct drugs

Brand share

61.3%

Top prescribed drugs

Semaglutide241 claims

Levothyroxine Sodium204 claims

Empagliflozin158 claims

Levothyroxine Sodium147 claims

Tirzepatide134 claims

QUALITY · MIPS · 2024

Final MIPS score

20.8

Quality

0.0

Cost

69.3

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-6.51%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Education$170

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Home health agency

Home health agency

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Nelson Madrilejo's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 4 inbound referrers · 12 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Pacific Point Laboratories, Inc. Clinical Laboratory · San Luis Obispo, CA	124	437
Larry Yokoyama Family Practice · Bakersfield, CA	23	72
DIGNITY HEALTH	12	32
GOPAL, RAJ	11	22

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Pacific Point Laboratories, Inc. Clinical Laboratory · San Luis Obispo, CA	148	478
SAN JOAQUIN COMMUNITY HOSPITAL	32	93
Larry Yokoyama Family Practice · Bakersfield, CA	27	80
DIGNITY HEALTH	20	44
PATEL, GIRISH	16	29
BAKERSFIELD MEMORIAL HOSPITAL	13	34
SARMICANIC, SCHAUL	13	32
Hall Ambulance Service Inc Ambulance Service Provider · Bakersfield, CA	13	30
Latara Enterprise Inc. Clinical Laboratory · Pomona, CA	11	87
John Roefs Diagnostic Radiology · Bakersfield, CA	11	30
MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT	11	85
GOPAL, RAJ	11	28

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history