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

Claudia Garcia

Claudia Garcia was paid $1.50M by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoCLAUDIA GARCIA
HENDERSON, NV 89052
33aNPI1205266129assigned 11/13/2013
33bProvider typePediatrics Physician
28Total paid$1.50M
24GClaims40,728
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Nevada

Rank by total paid#40 of 267
Median peer was paid$116K
This provider vs. median13×

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$20K$40K2018201920202021202220232024
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
20183,968$140K
20198,034$267K
20205,808$229K
20216,432$265K
20225,674$224K
20235,100$192K
2024incomplete5,712$183K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 8,697 7,019 $544K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15% 2,407 2,283 $219K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 15% 2,494 2,127 $218K
90460 Immunization administration through 18 years of age via any route, first or only component 12% 4,541 4,279 $178K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.9% 975 927 $89K
90472 Immunization administration, each additional vaccine (list separately) 4.6% 2,172 2,070 $69K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.3% 497 469 $50K
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 2.1% 513 397 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 523 477 $19K
92567 <1% 1,278 1,131 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,224 1,146 $12K
94760 <1% 4,906 3,934 $12K
33 more codes
36416 <1% 1,485 $6K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 68 $6K
99058 <1% 338 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 396 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 205 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 47 $4K
87807 <1% 469 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 217 $3K
85018 <1% 1,059 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 56 $1K
J7633 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, per 0.25 milligram <1% 54 $948.60
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 270 $491.54
A7015 Aerosol mask, used with dme nebulizer <1% 271 $354.10
94664 <1% 21 $190.85
81002 <1% 30 $83.44
96127 <1% 12 $43.74
J7610 Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg <1% 30 $31.98
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 99 $26.02
99000 <1% 1,386 $0.37
90671 0% 240 $0.00
90670 0% 903 $0.00
90633 0% 220 $0.00
90700 0% 200 $0.00
90648 0% 18 $0.00
90713 0% 15 $0.00
90685 0% 21 $0.00
90734 0% 12 $0.00
90686 0% 1,018 $0.00
90680 0% 477 $0.00
90698 0% 550 $0.00
90651 0% 43 $0.00
90744 0% 233 $0.00
97802 0% 38 $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, CLAUDIA (OWNER)