Physician
Samuel Garcia, JR, M.D., P.L.L.C.
Samuel Garcia, JR, M.D., P.L.L.C. was paid $508K by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSAMUEL GARCIA, JR, M.D., P.L.L.C.
MCALLEN, TX 78501
MCALLEN, TX 78501
33aNPI1144598947assigned 12/07/2011
33bProvider typeFamily Medicine Physician
28Total paid$508K
24GClaims51,365
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#175 of 1,204
Median peer was paid$31K
This provider vs. median16×
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 | 9,709 | $46K | |
| 2019 | 6,613 | $21K | |
| 2020 | 4,919 | $32K | |
| 2021 | 8,225 | $102K | |
| 2022 | 9,075 | $116K | |
| 2023 | 7,755 | $109K | |
| 2024incomplete | 5,069 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 9,907 | 7,982 | $234K |
| 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 | 32% | 5,259 | 4,468 | $160K |
| 99444 | 6.1% | 545 | 147 | $31K | |
| 99000 | 3.0% | 1,608 | 1,530 | $15K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 3,762 | 3,591 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 853 | 402 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.2% | 1,823 | 1,774 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 439 | 415 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 661 | 570 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 64 | 62 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 382 | 256 | $5K |
| 99490 | Ccm add 20min | <1% | 1,207 | 1,206 | $4K |
57 more codes
| 81000 | <1% | 3,025 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 68 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 96 | $2K |
| 99354 | <1% | 224 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | $1K |
| 90682 | <1% | 44 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $841.02 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 90 | $810.15 |
| 81001 | <1% | 447 | $761.28 | |
| 82043 | <1% | 534 | $693.27 | |
| 82570 | <1% | 665 | $634.24 | |
| 36410 | <1% | 141 | $619.56 | |
| 90686 | <1% | 122 | $502.53 | |
| 90461 | <1% | 80 | $159.36 | |
| 96116 | <1% | 78 | $138.74 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 54 | $80.48 |
| 82947 | <1% | 1,039 | $73.45 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $72.82 |
| 90656 | <1% | 13 | $69.88 | |
| 82948 | <1% | 13 | $4.23 | |
| 90734 | <1% | 12 | $0.01 | |
| 90651 | <1% | 14 | $0.01 | |
| 4013F | 0% | 803 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $0.00 |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 1,598 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,215 | $0.00 |
| 3288F | 0% | 154 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,719 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 528 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 193 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 244 | $0.00 |
| 3078F | 0% | 93 | $0.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 22 | $0.00 |
| 3045F | 0% | 108 | $0.00 | |
| 90662 | 0% | 49 | $0.00 | |
| 3077F | 0% | 44 | $0.00 | |
| 90756 | 0% | 54 | $0.00 | |
| 3008F | 0% | 862 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 3,187 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,001 | $0.00 |
| 1101F | 0% | 433 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 195 | $0.00 |
| 1036F | 0% | 159 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 178 | $0.00 |
| 3044F | 0% | 768 | $0.00 | |
| 3048F | 0% | 678 | $0.00 | |
| 4008F | 0% | 99 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 102 | $0.00 |
| 2000F | 0% | 140 | $0.00 | |
| 82962 | 0% | 111 | $0.00 | |
| 4010F | 0% | 19 | $0.00 | |
| 3049F | 0% | 84 | $0.00 | |
| 3079F | 0% | 15 | $0.00 | |
| G8450 | Beta-blocker therapy prescribed | 0% | 30 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 58 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 29 | $0.00 |
| 3074F | 0% | 41 | $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, SAMUEL (PHYSICIAN)