Physician
Garcia, Michael
Garcia, Michael was paid $455K by Medicaid between Feb 2018 and Nov 2024, across 7 billing codes. Its largest line is 99283, emergency room visit (moderate) — 41% of everything it billed.
33Billing provider infoGARCIA, MICHAEL
WOODBURY, NJ 08096
WOODBURY, NJ 08096
33aNPI1326353913assigned 08/09/2010
33bProvider typeEmergency Medicine Physician
28Total paid$455K
24GClaims2,856
24DCodes billed7
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in New Jersey
Rank by total paid#54 of 235
Median peer was paid$10K
This provider vs. median45×
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 | 1,832 | $261K | |
| 2019 | 97 | $24K | |
| 2020 | 464 | $103K | |
| 2021 | 12 | $882.66 | |
| 2023 | 184 | $22K | |
| 2024incomplete | 267 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 41% | 989 | 864 | $186K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 28% | 869 | 813 | $129K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 28% | 919 | 853 | $128K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 31 | 26 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 19 | 15 | $4K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 17 | 14 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | 12 | $30.02 |
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.