Physician
Eddie M Garcia a Professional Corporation
Eddie M Garcia a Professional Corporation was paid $48K by Medicaid between Jan 2018 and Jun 2020, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 51% of everything it billed.
33Billing provider infoEDDIE M GARCIA A PROFESSIONAL CORPORATION
EL MONTE, CA 91731
EL MONTE, CA 91731
33aNPI1306954714assigned 08/26/2006
33bProvider typeOphthalmology Physician
28Total paid$48K
24GClaims2,056
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#352 of 759
Median peer was paid$35K
This provider vs. median1.4×
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 | 583 | $8K | |
| 2019 | 1,125 | $30K | |
| 2020 | 348 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 330 | 328 | $25K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 286 | 286 | $9K |
| 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% | 201 | 194 | $8K |
| 92015 | Determination of refractive state | 5.5% | 1,133 | 1,128 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 71 | 71 | $3K |
| 76519 | 1.1% | 20 | 12 | $505.47 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | 15 | $119.79 |
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, EDDIE (PRESIDENT)