Clinic
Raymundo M Garcia Lora M.D., INC
Raymundo M Garcia Lora M.D., INC was paid $2.90M by Medicaid between Jan 2018 and Nov 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.
33Billing provider infoRAYMUNDO M GARCIA LORA M.D., INC
ORANGE, CA 92867
ORANGE, CA 92867
33aNPI1124474606assigned 05/13/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$2.90M
24GClaims111,655
24DCodes billed53
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#30 of 422
Median peer was paid$25K
This provider vs. median118×
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 | 8,026 | $231K | |
| 2019 | 12,241 | $341K | |
| 2020 | 15,087 | $551K | |
| 2021 | 16,672 | $618K | |
| 2022 | 18,780 | $579K | |
| 2023 | 21,483 | $426K | |
| 2024incomplete | 19,366 | $152K |
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 | 16% | 14,624 | 14,061 | $476K |
| 96156 | 14% | 4,856 | 4,841 | $394K | |
| 97802 | 9.6% | 13,472 | 13,437 | $279K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.5% | 3,689 | 3,685 | $218K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 3,658 | 3,658 | $171K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.3% | 2,894 | 2,278 | $153K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 7,427 | 7,186 | $147K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 3,247 | 3,233 | $131K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.3% | 997 | 997 | $97K |
| G9920 | Screening performed and negative | 2.7% | 4,505 | 4,500 | $77K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,546 | 1,534 | $77K |
| 99384 | 2.6% | 1,238 | 1,238 | $76K |
41 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2.4% | 5,887 | $70K |
| 99383 | 2.1% | 1,101 | $61K | |
| D1206 | Topical application of fluoride varnish | 1.9% | 3,119 | $56K |
| 96151 | 1.6% | 2,076 | $47K | |
| 87110 | 1.1% | 2,548 | $33K | |
| 99385 | <1% | 301 | $26K | |
| 90686 | <1% | 3,530 | $25K | |
| 99406 | <1% | 3,981 | $23K | |
| 96150 | <1% | 948 | $22K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 805 | $19K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,453 | $18K |
| 90713 | <1% | 2,260 | $17K | |
| 90700 | <1% | 2,214 | $17K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 96 | $13K |
| 90648 | <1% | 1,618 | $13K | |
| 90734 | <1% | 1,462 | $11K | |
| 90670 | <1% | 1,201 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 902 | $10K |
| 90715 | <1% | 1,411 | $10K | |
| 99382 | <1% | 163 | $10K | |
| 90651 | <1% | 1,187 | $9K | |
| 90655 | <1% | 1,152 | $9K | |
| 90716 | <1% | 988 | $8K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 454 | $7K |
| 90707 | <1% | 938 | $7K | |
| 90633 | <1% | 912 | $7K | |
| 96127 | <1% | 1,370 | $6K | |
| 90744 | <1% | 953 | $6K | |
| 99460 | <1% | 118 | $6K | |
| 90680 | <1% | 716 | $5K | |
| 90656 | <1% | 605 | $5K | |
| H0049 | Alcohol and/or drug screening | <1% | 167 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 186 | $4K |
| 90671 | <1% | 391 | $2K | |
| 99245 | <1% | 12 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $948.69 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 28 | $872.76 |
| 0004A | <1% | 14 | $560.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $97.86 |
| 99177 | 0% | 406 | $0.00 | |
| 99072 | 0% | 798 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialGARCIA, RAYMUNDO (PRESIDENT)