Garcia, Baldemar
Garcia, Baldemar was paid $1.32M by Medicaid between Oct 2020 and Dec 2024, across 6 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 94% of everything it billed.
33Billing provider infoGARCIA, BALDEMAR
PHARR, TX 78577
PHARR, TX 78577
33aNPI1184810418assigned 09/20/2007
33bProvider typeOccupational Therapist
28Total paid$1.32M
24GClaims20,062
24DCodes billed6
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Texas
Rank by total paid#24 of 299
Median peer was paid$93K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2020 | 920 | $73K | |
| 2021 | 3,416 | $217K | |
| 2022 | 5,197 | $309K | |
| 2023 | 5,968 | $401K | |
| 2024incomplete | 4,561 | $317K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 94% | 17,750 | 4,187 | $1.24M |
| 97535 | Self-care/home management training, each 15 minutes | 5.4% | 2,189 | 778 | $71K |
| 97167 | <1% | 39 | 38 | $4K | |
| 97166 | <1% | 45 | 43 | $4K | |
| 97168 | <1% | 27 | 27 | $2K | |
| 97165 | <1% | 12 | 12 | $895.41 |
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.