Garcia, Andrew

Garcia, Andrew was paid $146K by Medicaid between Dec 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.

33Billing provider infoGARCIA, ANDREW
MIDDLETOWN, NY 10941

33aNPI1073806212assigned 05/20/2011

33bProvider typeOphthalmology Physician

28Total paid$146K

24GClaims3,354

24DCodes billed11

24AFirst – last monthDec 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#336 of 1,085

Median peer was paid$34K

This provider vs. median4.3×

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

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	47	$1K
2019	513	$23K
2020	284	$15K
2021	16	$1K
2023	517	$19K
2024incomplete	1,977	$86K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	40%	857	855	$58K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	20%	324	322	$30K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	12%	429	422	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	388	378	$15K
92083		6.5%	262	261	$9K
92250		4.8%	269	267	$7K
92133		4.1%	297	296	$6K
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	1.6%	28	28	$2K
92134		<1%	30	29	$460.27
92136		<1%	22	12	$386.39
92015	Determination of refractive state	<1%	448	447	$192.61

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.