Garcia, Daniel
Garcia, Daniel was paid $1.35M by Medicaid between Nov 2020 and Dec 2024, across 3 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 98% of everything it billed.
33Billing provider infoGARCIA, DANIEL
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1083058713assigned 04/24/2013
33bProvider typeOccupational Therapist
28Total paid$1.35M
24GClaims18,560
24DCodes billed3
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Texas
Rank by total paid#23 of 299
Median peer was paid$93K
This provider vs. median15×
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 Concentration98% of spending on code 97530 with only 3 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 | 305 | $15K | |
| 2021 | 1,068 | $68K | |
| 2022 | 1,066 | $58K | |
| 2023 | 6,874 | $491K | |
| 2024incomplete | 9,247 | $720K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 98% | 18,203 | 2,945 | $1.33M |
| 97168 | 1.2% | 268 | 262 | $16K | |
| 97166 | <1% | 89 | 82 | $6K |
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.