Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Garcia, Frank

Garcia, Frank was paid $3K by Medicaid between Sep 2019 and Nov 2022, across 2 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 97% of everything it billed.

33Billing provider infoGARCIA, FRANK
TROY, NY 12180
33aNPI1053674994assigned 06/15/2012
28Total paid$3K
24GClaims315
24DCodes billed2
24AFirst – last monthSep 2019 – Nov 2022
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#1,789 of 2,605
Median peer was paid$10K
This provider vs. median0.3×

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

$0$200$400$6002018201920202021202220232024
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
YearClaimsPaid
201981$652.07
2020130$1K
202183$625.18
202221$217.82
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 97% 292 157 $3K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.1% 23 14 $84.88

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.