Physician
Carrillo Urbina & Garcia INC
Carrillo Urbina & Garcia INC was paid $8K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCARRILLO URBINA & GARCIA INC
FONTANA, CA 92335
FONTANA, CA 92335
33aNPI1255527461assigned 09/20/2007
33bProvider typeGeneral Practice Physician
28Total paid$8K
24GClaims26,269
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#250 of 474
Median peer was paid$10K
This provider vs. median0.8×
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 | 2,171 | $1K | |
| 2019 | 2,715 | $64.83 | |
| 2020 | 1,994 | $96.60 | |
| 2021 | 2,926 | $640.64 | |
| 2022 | 2,753 | $256.64 | |
| 2023 | 5,552 | $1K | |
| 2024incomplete | 8,158 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 8,441 | 7,262 | $3K |
| 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 | 17% | 1,125 | 1,003 | $1K |
| 92552 | 12% | 654 | 649 | $1K | |
| G9920 | Screening performed and negative | 6.4% | 1,328 | 1,260 | $525.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 4.5% | 2,405 | 2,337 | $363.29 |
| H0049 | Alcohol and/or drug screening | 3.0% | 1,877 | 1,805 | $245.00 |
| 96156 | 2.9% | 473 | 436 | $240.00 | |
| 92551 | 2.6% | 42 | 39 | $209.00 | |
| 99381 | 2.2% | 50 | 50 | $179.52 | |
| 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 | 1.8% | 332 | 310 | $150.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.8% | 330 | 308 | $150.00 |
| 94760 | 1.6% | 1,160 | 998 | $126.38 |
27 more codes
| 92081 | 1.1% | 103 | $90.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 154 | $50.00 |
| 90686 | <1% | 12 | $41.44 | |
| 99173 | <1% | 673 | $27.36 | |
| 81002 | <1% | 458 | $17.04 | |
| 3078F | <1% | 1,178 | $10.00 | |
| 3074F | <1% | 964 | $9.00 | |
| 3008F | <1% | 1,644 | $7.00 | |
| 3079F | <1% | 413 | $6.00 | |
| 1036F | <1% | 690 | $6.00 | |
| 3077F | <1% | 265 | $3.00 | |
| 3075F | <1% | 271 | $3.00 | |
| 85018 | <1% | 275 | $2.05 | |
| 3044F | <1% | 27 | $2.00 | |
| 99499 | 0% | 17 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 63 | $0.00 |
| 96160 | 0% | 18 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 14 | $0.00 |
| 4004F | 0% | 14 | $0.00 | |
| 1220F | 0% | 321 | $0.00 | |
| 99406 | 0% | 267 | $0.00 | |
| 0545F | 0% | 42 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 46 | $0.00 |
| 97802 | 0% | 52 | $0.00 | |
| 2001F | 0% | 23 | $0.00 | |
| 99384 | 0% | 25 | $0.00 | |
| 99386 | 0% | 23 | $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, MIGUEL (ADMINISTRATOR/AUTHORIZED OFFICIAL)