Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Garcia-Albarran, Carmen

Garcia-Albarran, Carmen was paid $338K by Medicaid between Jan 2018 and Nov 2024, across 93 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 19% of everything it billed.

33Billing provider infoGARCIA-ALBARRAN, CARMEN
NEW YORK, NY 10033
33aNPI1174610760assigned 10/06/2006
33bProvider typePediatrics Physician
28Total paid$338K
24GClaims68,863
24DCodes billed93
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#497 of 1,983
Median peer was paid$17K
This provider vs. median20×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20185,130$42K
20198,872$48K
202014,094$51K
202119,809$109K
202210,514$29K
2023936$4K
2024incomplete9,508$56K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90460 Immunization administration through 18 years of age via any route, first or only component 19% 3,193 3,118 $63K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 6,550 5,652 $55K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14% 1,514 1,466 $46K
92587 13% 2,719 2,706 $45K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 4.5% 978 962 $15K
99401 3.8% 4,247 3,943 $13K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 3.3% 3,131 2,858 $11K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.0% 2,401 2,182 $10K
90472 Immunization administration, each additional vaccine (list separately) 2.5% 275 270 $8K
86328 2.2% 552 547 $8K
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 1.4% 301 287 $5K
87631 1.2% 395 383 $4K
81 more codes
D1206 Topical application of fluoride varnish 1.0% 146 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 444 $3K
36410 <1% 2,287 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 419 $3K
87110 <1% 175 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 130 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 203 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 302 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 210 $2K
99203 Doctor's office visit, new patient (routine) <1% 218 $2K
99441 <1% 325 $2K
83655 <1% 247 $2K
86769 <1% 446 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 817 $2K
99177 <1% 2,519 $2K
H0049 Alcohol and/or drug screening <1% 783 $2K
0072A <1% 46 $2K
94642 <1% 173 $2K
0071A <1% 44 $2K
90661 <1% 42 $1K
97802 <1% 986 $1K
94200 <1% 460 $1K
90686 <1% 1,112 $1K
90660 <1% 101 $1K
99188 <1% 107 $949.48
90656 <1% 111 $920.04
A4614 Peak expiratory flow rate meter, hand held <1% 462 $906.98
99173 <1% 807 $707.94
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 82 $704.02
81002 <1% 2,349 $682.75
90461 <1% 192 $554.86
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 151 $471.81
0004A <1% 13 $422.22
83036 Hemoglobin; glycosylated (A1C) <1% 129 $249.07
94664 <1% 117 $180.55
92557 <1% 38 $167.76
90688 <1% 175 $158.75
81000 <1% 553 $154.44
97803 <1% 29 $150.36
H0001 Alcohol and/or drug assessment <1% 746 $144.57
96127 <1% 834 $138.84
93000 <1% 15 $130.08
36415 Collection of venous blood by venipuncture <1% 308 $128.60
80061 Lipid panel <1% 123 $108.72
90674 <1% 97 $100.00
99000 <1% 2,820 $85.00
86580 <1% 14 $79.39
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 508 $78.00
36406 <1% 48 $74.44
90672 <1% 30 $26.88
G8418 Bmi is documented below normal parameters and a follow-up plan is documented <1% 1,815 $20.00
G0271 Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes <1% 40 $18.60
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 2,297 $15.00
81001 <1% 19 $3.81
91307 <1% 99 $0.26
91300 <1% 31 $0.10
90633 0% 54 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 714 $0.00
3725F 0% 644 $0.00
99072 0% 958 $0.00
G9820 Documentation of a chlamydia screening test with proper follow-up 0% 654 $0.00
3016F 0% 477 $0.00
99080 0% 1,999 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 196 $0.00
90670 0% 12 $0.00
90648 0% 12 $0.00
90715 0% 12 $0.00
3078F 0% 73 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 916 $0.00
1036F 0% 645 $0.00
3008F 0% 4,342 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 768 $0.00
3048F 0% 471 $0.00
90620 0% 461 $0.00
94760 0% 145 $0.00
1000F 0% 645 $0.00
S8110 Peak expiratory flow rate (physician services) 0% 431 $0.00
90651 0% 59 $0.00
G0008 Administration of influenza virus vaccine 0% 35 $0.00
90619 0% 17 $0.00
3074F 0% 73 $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.