Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Garcia, Sol

Garcia, Sol was paid $7K by Medicaid between Dec 2018 and Aug 2022, across 11 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 67% of everything it billed.

33Billing provider infoGARCIA, SOL
MAYAGUEZ, PR 00680
33aNPI1336108067assigned 03/21/2006
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims4,745
24DCodes billed11
24AFirst – last monthDec 2018 – Aug 2022
Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#95 of 194
Median peer was paid$7K
This provider vs. median1.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201823$39.00
20192,985$4K
20201,590$3K
2022147$106.94
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 67% 3,334 2,642 $5K
99441 17% 756 582 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16% 71 64 $1K
99442 <1% 55 50 $42.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 0% 221 219 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 57 57 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 72 72 $0.00
99408 0% 35 35 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 12 12 $0.00
V5008 Hearing screening 0% 69 69 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 63 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.