Garcia, Mamerto

Garcia, Mamerto was paid $154K by Medicaid between Jan 2018 and Jun 2023, across 26 billing codes. Its largest line is 96156, — 71% of everything it billed.

33Billing provider infoGARCIA, MAMERTO
ANAHEIM, CA 92801

33aNPI1356446413assigned 09/13/2006

33bProvider typePediatrics Physician

28Total paid$154K

24GClaims5,683

24DCodes billed26

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#408 of 1,490

Median peer was paid$15K

This provider vs. median10×

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	837	$11K
2019	1,432	$15K
2020	1,047	$40K
2021	1,206	$45K
2022	1,095	$38K
2023	66	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96156		71%	1,048	993	$110K
96151		5.9%	550	427	$9K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.4%	166	153	$7K
92551		4.4%	596	508	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.7%	355	280	$6K
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	2.6%	116	81	$4K
97802		1.3%	143	134	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.3%	43	41	$2K
85018		<1%	778	671	$1K
90658		<1%	140	128	$1K
97803		<1%	110	104	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	23	16	$918.13

14 more codes

G9920	Screening performed and negative	<1%	528	$724.42
83655		<1%	30	$673.50
81005		<1%	438	$661.92
90670		<1%	55	$486.00
90698		<1%	26	$234.00
99462		<1%	21	$162.55
90649		<1%	16	$144.00
99173		<1%	378	$78.54
85999		<1%	26	$78.26
81000		<1%	25	$71.75
90657		<1%	12	$63.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$13.09
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	35	$10.21
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	12	$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.