Physician
Garcia, Elvira
Garcia, Elvira was paid $355K by Medicaid between Nov 2020 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoGARCIA, ELVIRA
ABILENE, TX 79606
ABILENE, TX 79606
33aNPI1346259991assigned 08/05/2006
33bProvider typePediatrics Physician
28Total paid$355K
24GClaims14,073
24DCodes billed26
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#552 of 1,136
Median peer was paid$329K
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
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 | |
|---|---|---|---|
| 2020 | 829 | $14K | |
| 2021 | 4,146 | $97K | |
| 2022 | 3,539 | $98K | |
| 2023 | 3,213 | $88K | |
| 2024incomplete | 2,346 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 3,465 | 3,149 | $120K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 926 | 916 | $68K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 891 | 880 | $66K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 4,676 | 2,187 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 303 | 299 | $24K |
| 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 | 1.7% | 134 | 125 | $6K |
| 90461 | 1.6% | 1,239 | 1,132 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 58 | 58 | $5K |
| 99460 | <1% | 45 | 39 | $3K | |
| 87428 | <1% | 47 | 35 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 171 | 165 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 30 | 27 | $2K |
14 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $319.02 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $305.80 |
| 87430 | <1% | 13 | $170.11 | |
| 90672 | <1% | 320 | $0.41 | |
| 90686 | <1% | 517 | $0.01 | |
| 90677 | <1% | 12 | $0.01 | |
| 90648 | 0% | 224 | $0.00 | |
| 90670 | 0% | 593 | $0.00 | |
| 90633 | 0% | 70 | $0.00 | |
| 90681 | 0% | 77 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 97803 | 0% | 17 | $0.00 | |
| 90723 | 0% | 137 | $0.00 | |
| 90698 | 0% | 68 | $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.