Physician
Garcia, Gayda
Garcia, Gayda was paid $4K by Medicaid between Jan 2018 and Mar 2019, across 30 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 46% of everything it billed.
33Billing provider infoGARCIA, GAYDA
WILMINGTON, CA 90744
WILMINGTON, CA 90744
33aNPI1336243724assigned 09/07/2006
33bProvider typePediatrics Physician
28Total paid$4K
24GClaims6,192
24DCodes billed30
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#937 of 1,490
Median peer was paid$15K
This provider vs. median0.2×
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 | 4,504 | $3K | |
| 2019 | 1,688 | $288.02 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 46% | 159 | 159 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 27% | 114 | 114 | $935.30 |
| 92551 | 11% | 38 | 38 | $383.80 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 30 | 30 | $173.55 |
| 85018 | 4.0% | 519 | 519 | $142.10 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 2,118 | 1,969 | $139.28 |
| 81000 | 1.3% | 278 | 277 | $45.93 | |
| 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 | <1% | 445 | 429 | $32.40 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 487 | 476 | $28.55 |
| 92552 | <1% | 364 | 364 | $10.41 | |
| 92081 | <1% | 265 | 265 | $5.04 | |
| 4245F | 0% | 271 | 268 | $0.00 |
18 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 130 | $0.00 |
| 92060 | 0% | 13 | $0.00 | |
| 3008F | 0% | 272 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 47 | $0.00 |
| 90686 | 0% | 48 | $0.00 | |
| 1220F | 0% | 56 | $0.00 | |
| 4037F | 0% | 65 | $0.00 | |
| 90651 | 0% | 54 | $0.00 | |
| 90688 | 0% | 14 | $0.00 | |
| 1038F | 0% | 14 | $0.00 | |
| 99173 | 0% | 84 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 4124F | 0% | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 57 | $0.00 |
| 81002 | 0% | 80 | $0.00 | |
| 4035F | 0% | 56 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 38 | $0.00 |
| 4025F | 0% | 36 | $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.