Physician
Garcia-Davalos, Jose
Garcia-Davalos, Jose was paid $546K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoGARCIA-DAVALOS, JOSE
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1295742146assigned 08/02/2006
33bProvider typeOphthalmology Physician
28Total paid$546K
24GClaims18,834
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#22 of 231
Median peer was paid$16K
This provider vs. median35×
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 | 1,904 | $25K | |
| 2019 | 1,386 | $17K | |
| 2020 | 1,610 | $45K | |
| 2021 | 4,324 | $149K | |
| 2022 | 4,196 | $136K | |
| 2023 | 3,260 | $108K | |
| 2024incomplete | 2,154 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 4,148 | 3,869 | $140K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 19% | 2,585 | 2,512 | $103K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 18% | 1,312 | 1,234 | $100K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 1,688 | 1,677 | $64K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.7% | 273 | 258 | $26K |
| 3072F | 4.2% | 2,420 | 2,375 | $23K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.1% | 1,609 | 1,429 | $23K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.1% | 1,021 | 999 | $22K |
| V2020 | Frames, purchases | 3.4% | 1,101 | 1,082 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 715 | 626 | $13K |
| 92250 | 1.7% | 755 | 747 | $9K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 183 | 149 | $5K |
7 more codes
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.