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

Leonardo Garcia M.D., PA

Leonardo Garcia M.D., PA was paid $5.78M by Medicaid between Apr 2020 and Dec 2024, across 13 billing codes. Its largest line is 95816, — 20% of everything it billed.

33Billing provider infoLEONARDO GARCIA M.D., PA
MCALLEN, TX 78503
33aNPI1063909208assigned 04/13/2018
28Total paid$5.78M
24GClaims51,986
24DCodes billed13
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Texas

Rank by total paid#1 of 20
Median peer was paid$62K
This provider vs. median94×

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$100K$200K2018201920202021202220232024
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
20202,019$194K
202111,804$1.27M
202211,900$1.33M
202313,166$1.48M
2024incomplete13,097$1.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95816 20% 4,167 3,911 $1.18M
95716 20% 990 958 $1.17M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 24,448 23,094 $824K
95819 8.9% 1,594 1,497 $513K
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 8.5% 10,447 9,695 $494K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.6% 5,366 5,108 $439K
95810 Polysomnography; sleep staging with 4 or more additional parameters 6.8% 1,072 1,002 $393K
95700 6.1% 1,853 1,792 $355K
95720 2.5% 900 871 $143K
95782 2.2% 220 212 $125K
95708 1.2% 491 470 $72K
95822 1.0% 196 181 $58K
1 more codes
95719 <1% 242 $27K

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.

From NPPES

Who's on the registration

Authorized officialALEJANDRO, ELSA (BILLING CLERK)