What is Nelson Madrilejo's specialty?

Nelson Madrilejo (NPI 1023110103) is a Medicare-billing provider whose primary specialty is Internal Medicine in Bakersfield, CA.

Where does Nelson Madrilejo practice?

Nelson Madrilejo practices in Bakersfield, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1023110103.

How much does Medicare pay Nelson Madrilejo?

Nelson Madrilejo (NPI 1023110103) received approximately $228K in total Medicare Part B payments, serving 725 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events