Garcia, Carlos

Garcia, Carlos was paid $3.60M by Medicaid between Jan 2018 and Feb 2021, across 194 billing codes. Its largest line is 87633, Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets — 19% of everything it billed.

33Billing provider infoGARCIA, CARLOS
CHICAGO, IL 60616

33aNPI1205928793assigned 09/29/2006

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$3.60M

24GClaims498,206

24DCodes billed194

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Illinois

Rank by total paid#19 of 398

Median peer was paid$66K

This provider vs. median55×

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	129,243	$904K
2019	194,208	$1.40M
2020	168,460	$1.26M
2021	6,295	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	19%	4,063	3,475	$685K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	9.2%	6,289	5,694	$330K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	6.0%	9,744	8,734	$214K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	5.8%	9,512	8,644	$210K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	4.9%	7,687	6,104	$175K
80053	Comprehensive metabolic panel	4.8%	34,781	21,859	$173K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	3.3%	40,221	25,251	$117K
80048	Basic metabolic panel (calcium, ionized)	2.8%	25,572	14,199	$102K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	2.5%	4,064	3,481	$91K
87486		2.5%	4,019	3,464	$90K
87581		2.5%	4,019	3,464	$90K
83735		2.3%	23,130	7,696	$84K

182 more codes

85027		2.1%	26,416	$75K
84443	Thyroid stimulating hormone (TSH)	1.5%	7,015	$56K
84484		1.4%	11,961	$51K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.3%	2,057	$45K
87086	Culture, bacterial; quantitative colony count, urine	1.0%	7,300	$37K
87040		<1%	3,566	$36K
86335		<1%	2,742	$34K
86780		<1%	3,849	$33K
84100		<1%	18,742	$32K
83036	Hemoglobin; glycosylated (A1C)	<1%	10,164	$30K
83605		<1%	5,435	$30K
87536		<1%	705	$29K
83880		<1%	3,481	$27K
85730		<1%	7,536	$26K
82803		<1%	2,778	$25K
87186		<1%	3,503	$25K
80061	Lipid panel	<1%	10,357	$22K
83690		<1%	6,567	$22K
81001		<1%	15,938	$22K
83655		<1%	3,460	$20K
85610		<1%	10,256	$20K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	1,488	$20K
86850		<1%	6,422	$18K
86901		<1%	7,610	$18K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	879	$17K
87340		<1%	2,654	$17K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	3,422	$17K
86480		<1%	667	$17K
81025		<1%	11,483	$16K
87507		<1%	155	$13K
86900		<1%	7,718	$13K
80074		<1%	644	$11K
87070		<1%	4,059	$11K
87205		<1%	5,128	$11K
84702		<1%	2,379	$10K
82607		<1%	1,686	$10K
85007		<1%	6,017	$10K
84439		<1%	2,206	$9K
86592		<1%	4,162	$8K
87529		<1%	343	$8K
80076		<1%	2,179	$7K
82728		<1%	2,130	$7K
87081		<1%	2,913	$7K
87077		<1%	1,873	$7K
86706		<1%	1,027	$7K
87210		<1%	3,134	$7K
82330		<1%	757	$7K
85379		<1%	1,784	$7K
86803		<1%	793	$7K
82746		<1%	1,142	$6K
80202		<1%	910	$6K
86140		<1%	2,656	$6K
86762		<1%	1,509	$6K
83615		<1%	2,844	$6K
85018		<1%	5,740	$6K
85014		<1%	5,284	$5K
83520		<1%	859	$5K
86920		<1%	1,169	$5K
87147		<1%	2,219	$5K
82261		<1%	639	$5K
85651		<1%	2,021	$5K
82570		<1%	2,063	$4K
88307		<1%	171	$4K
82550		<1%	1,959	$4K
87449		<1%	462	$4K
83550		<1%	1,112	$4K
82043		<1%	2,074	$4K
83540		<1%	1,299	$4K
86003		<1%	359	$4K
87517		<1%	146	$4K
86162		<1%	443	$4K
81511		<1%	119	$4K
86360		<1%	677	$4K
84481		<1%	673	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	412	$3K
86615		<1%	571	$3K
86038		<1%	404	$3K
81003		<1%	2,886	$3K
82554		<1%	946	$3K
82274		<1%	570	$3K
83021		<1%	468	$3K
86359		<1%	677	$3K
82105		<1%	350	$3K
84030		<1%	1,124	$3K
87075		<1%	485	$3K
83498		<1%	651	$3K
84153		<1%	394	$2K
82985		<1%	394	$2K
82247		<1%	1,230	$2K
82950		<1%	1,042	$2K
85060		<1%	340	$2K
84480		<1%	502	$2K
83020		<1%	573	$2K
84133		<1%	1,006	$2K
84300		<1%	843	$2K
85097		<1%	79	$2K
84156		<1%	1,601	$2K
84132		<1%	980	$2K
80164		<1%	366	$2K
82232		<1%	347	$2K
82016		<1%	632	$1K
84550		<1%	1,140	$1K
82436		<1%	587	$1K
82760		<1%	635	$1K
82248		<1%	1,021	$1K
84146		<1%	197	$1K
83516		<1%	294	$1K
86682		<1%	230	$1K
87521	Neg quan hep c or qual rna	<1%	56	$1K
80185		<1%	180	$1K
82384		<1%	155	$1K
85046		<1%	450	$1K
83970		<1%	72	$1K
82945		<1%	570	$985.60
80050	General health panel	<1%	2,039	$970.80
82140		<1%	259	$970.18
84436		<1%	303	$918.69
85810		<1%	319	$900.30
87400		<1%	157	$886.60
84295		<1%	467	$745.58
86658		<1%	82	$647.92
86880		<1%	188	$626.40
85305		<1%	102	$622.60
82565		<1%	322	$606.03
88312		<1%	116	$595.90
84540		<1%	329	$581.43
82948		<1%	435	$565.77
82947		<1%	331	$545.69
83921		<1%	83	$528.90
87106		<1%	370	$497.50
84485		<1%	194	$496.80
87496		<1%	24	$480.90
86753		<1%	33	$452.50
83930		<1%	188	$428.72
87185		<1%	139	$424.85
83915		<1%	148	$421.75
87522	Neg quan hep c or qual rna	<1%	15	$419.25
82270		<1%	352	$411.29
82951		<1%	65	$409.50
86001		<1%	80	$394.40
86000		<1%	90	$340.40
82540		<1%	178	$330.75
84145		<1%	1,745	$325.29
83883		<1%	65	$318.42
86431		<1%	82	$296.84
87150		<1%	108	$295.75
84520		<1%	301	$292.31
87350		<1%	38	$285.76
85384		<1%	95	$268.26
84460		<1%	190	$266.82
82131		<1%	41	$236.38
87338		<1%	25	$235.00
84450		<1%	157	$230.97
83519		<1%	44	$224.40
84403		<1%	14	$214.88
85245		<1%	44	$194.03
82747		<1%	27	$172.64
82150		<1%	50	$172.26
82952		<1%	152	$162.35
81220	CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants	<1%	13	$156.08
83935		<1%	62	$142.13
82943		<1%	33	$115.39
82271		<1%	95	$109.54
82552		<1%	16	$103.25
82272		<1%	104	$101.96
86593		<1%	50	$98.00
86735		<1%	12	$82.55
84560		<1%	63	$80.59
84466		<1%	18	$74.63
82378		<1%	12	$73.81
86200		<1%	14	$70.46
85041		<1%	184	$68.42
82784		<1%	14	$63.56
85555		<1%	23	$53.59
85576		<1%	18	$52.90
86765		<1%	12	$49.20
87169		<1%	22	$47.85
84703		<1%	14	$46.54
80299		<1%	54	$46.50
84478		<1%	36	$45.90
82009		<1%	38	$36.18
87149		0%	63	$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.