Garcia-Nique, Luis
Garcia-Nique, Luis was paid $530K by Medicaid between Jan 2018 and Oct 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoGARCIA-NIQUE, LUIS
SANTA ANA, CA 92705
SANTA ANA, CA 92705
33aNPI1003955519assigned 02/05/2007
33bProvider typeSpecialist
28Total paid$530K
24GClaims7,068
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#269 of 1,230
Median peer was paid$51K
This provider vs. median10×
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 | 3,117 | $181K | |
| 2019 | 909 | $60K | |
| 2020 | 497 | $35K | |
| 2021 | 1,250 | $133K | |
| 2022 | 762 | $68K | |
| 2023 | 533 | $53K |
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 | 65% | 2,860 | 2,076 | $345K |
| 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 | 31% | 811 | 709 | $166K |
| S4993 | Contraceptive pills for birth control | 1.8% | 798 | 640 | $10K |
| 81025 | <1% | 1,870 | 1,582 | $5K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 228 | 217 | $2K |
| 99000 | <1% | 489 | 470 | $2K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 12 | 12 | $152.64 |
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.