Garcia, Mary
Garcia, Mary was paid $1.21M by Medicaid between Nov 2020 and Dec 2024, across 2 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 100% of everything it billed.
33Billing provider infoGARCIA, MARY
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1073759783assigned 12/30/2008
33bProvider typeOccupational Therapist
28Total paid$1.21M
24GClaims12,933
24DCodes billed2
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Texas
Rank by total paid#27 of 299
Median peer was paid$93K
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code 97530 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 404 | $35K | |
| 2021 | 2,282 | $235K | |
| 2022 | 3,451 | $353K | |
| 2023 | 3,094 | $267K | |
| 2024incomplete | 3,702 | $324K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 100% | 12,919 | 1,869 | $1.21M |
| 97166 | <1% | 14 | 14 | $1K |
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.