Physician
Garcia Lora, Raymundo
Garcia Lora, Raymundo was paid $1.23M by Medicaid between Jan 2018 and Oct 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoGARCIA LORA, RAYMUNDO
ORANGE, CA 92867
ORANGE, CA 92867
33aNPI1063839934assigned 03/27/2014
33bProvider typePediatrics Physician
28Total paid$1.23M
24GClaims25,153
24DCodes billed46
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#109 of 1,490
Median peer was paid$15K
This provider vs. median82×
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 | 3,773 | $163K | |
| 2019 | 4,000 | $177K | |
| 2020 | 2,936 | $177K | |
| 2021 | 4,051 | $204K | |
| 2022 | 5,811 | $268K | |
| 2023 | 4,228 | $225K | |
| 2024incomplete | 354 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 3,973 | 3,479 | $383K |
| 96156 | 14% | 1,930 | 1,876 | $174K | |
| 97802 | 8.3% | 2,865 | 2,784 | $102K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 1,398 | 1,240 | $98K |
| 99072 | 5.4% | 2,265 | 2,152 | $67K | |
| 99177 | 4.5% | 1,670 | 1,638 | $55K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 682 | 667 | $49K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 756 | 717 | $46K |
| 99401 | 2.6% | 930 | 924 | $32K | |
| G9920 | Screening performed and negative | 2.1% | 980 | 969 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 521 | 477 | $25K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.0% | 459 | 455 | $25K |
34 more codes
| 99406 | 1.9% | 643 | $24K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 366 | $21K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.4% | 1,120 | $18K |
| 96150 | 1.1% | 489 | $14K | |
| 96151 | <1% | 563 | $12K | |
| 96127 | <1% | 196 | $10K | |
| 90686 | <1% | 716 | $6K | |
| 99383 | <1% | 83 | $5K | |
| 87110 | <1% | 241 | $5K | |
| 99384 | <1% | 60 | $5K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 66 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 59 | $3K |
| 90713 | <1% | 326 | $3K | |
| 90700 | <1% | 314 | $3K | |
| 90658 | <1% | 249 | $2K | |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 15 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 67 | $2K |
| 90656 | <1% | 183 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 44 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47 | $2K |
| 90670 | <1% | 149 | $1K | |
| 90651 | <1% | 122 | $1K | |
| 90648 | <1% | 114 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 41 | $751.50 |
| 90734 | <1% | 66 | $576.00 | |
| 90715 | <1% | 62 | $549.00 | |
| 90744 | <1% | 60 | $540.00 | |
| 90716 | <1% | 53 | $477.00 | |
| 90707 | <1% | 53 | $477.00 | |
| 90633 | <1% | 47 | $456.46 | |
| 90680 | <1% | 44 | $396.00 | |
| 90655 | <1% | 36 | $324.00 | |
| 99173 | <1% | 13 | $240.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 17 | $96.00 |
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.