Garcia, Gilbert

Garcia, Gilbert was paid $28K by Medicaid between Sep 2018 and Feb 2020, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 91% of everything it billed.

33Billing provider infoGARCIA, GILBERT
MENOMINEE, MI 49858

33aNPI1154436970assigned 08/20/2006

33bProvider typeClinical Social Worker

28Total paid$28K

24GClaims375

24DCodes billed2

24AFirst – last monthSep 2018 – Feb 2020

Compared with peers

Next to other Clinical Social Worker providers in Michigan

Rank by total paid#253 of 411

Median peer was paid$49K

This provider vs. median0.6×

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	101	$7K
2019	229	$17K
2020	45	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	91%	341	210	$25K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	9.4%	34	34	$3K

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.