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Marisela Madrigal, MD

Pediatrics · Morgan Hill

NPI 1962065169

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Madrigal’s office at (408) 720-6670 to ask if they take your plan before you enroll.

California Medical Board record

Licence A179385 · Current

Licensed to practise in California · since 2022 · expires 2028-08-31 · University of California, San Diego School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$882,300 in 2024

Medicaid paid $882,300 for 12,215 billed services this clinician did in 2024, up to 244 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive1,699$877,356
Developmental screening243$2,745
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)600$808
Return visit (30+ min)837$410
Short return visit (20+ min)674$262
Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use446$173
Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use500$121
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use406$109
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)153$103
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)551$68
Measurement of lead45$64
Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use266$33
Medicaid work by year
202412,21528244$882,300
20238,91528232$1,078,754
20221,69518257$267,493
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive2,141$1,076,340
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)534$710
Developmental screening77$300
Short return visit1,107$220
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)443$218
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)213$161
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected14$143
Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use365$125
Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use361$99
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use340$82
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)112$63
Screening test, pure tone, air only146$52

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive538$266,663
Short return visit470$325
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected20$314
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)41$190
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)13$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)56$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)54$0
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)13$0
Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use24$0
Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use19$0
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use100$0
Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use23$0

Professional record

NPI
1962065169
Licence
CA A179385California A179385: Current · expires 2028-08-31
More record details
Sole proprietor
No
Taxonomy
Pediatrics (208000000X)
Mailing address
Po Box 276950, Sacramento, CA, 95827
NPI first listed
2019-04-15
NPI last updated
2025-06-03
NPI record certified
2025-06-03

This is when the NPI record was last certified, not a medical board exam.