Physician
Garza Medical Associates
Garza Medical Associates was paid $889K by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99444, — 47% of everything it billed.
33Billing provider infoGARZA MEDICAL ASSOCIATES
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1356632327assigned 04/26/2011
33bProvider typeInternal Medicine Physician
28Total paid$889K
24GClaims50,256
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#41 of 1,028
Median peer was paid$10K
This provider vs. median85×
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 | 16,210 | $258K | |
| 2019 | 8,939 | $241K | |
| 2020 | 7,305 | $59K | |
| 2021 | 8,281 | $96K | |
| 2022 | 4,751 | $88K | |
| 2023 | 2,303 | $89K | |
| 2024incomplete | 2,467 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 47% | 7,308 | 1,854 | $417K | |
| 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 | 34% | 10,405 | 9,617 | $299K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,203 | 4,505 | $108K |
| 99423 | 3.5% | 4,416 | 1,310 | $31K | |
| 99490 | Ccm add 20min | 1.5% | 2,112 | 2,112 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 4,027 | 886 | $10K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,762 | 624 | $5K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 479 | 453 | $2K |
| 99497 | <1% | 737 | 727 | $1K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 604 | 601 | $859.57 |
| 99495 | <1% | 67 | 67 | $310.34 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 32 | 28 | $287.82 |
53 more codes
| 90674 | <1% | 32 | $247.86 | |
| 90694 | <1% | 61 | $178.15 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 310 | $80.05 |
| 92228 | <1% | 12 | $66.47 | |
| 1090F | 0% | 345 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,277 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 94 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 115 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 448 | $0.00 |
| 3288F | 0% | 933 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 347 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 85 | $0.00 |
| 2022F | 0% | 60 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 122 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 200 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 13 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 30 | $0.00 |
| 4004F | 0% | 14 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 82 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 70 | $0.00 |
| 3045F | 0% | 15 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 278 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 78 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 97 | $0.00 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 41 | $0.00 |
| 90653 | 0% | 111 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 22 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 420 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 378 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 226 | $0.00 |
| 1123F | 0% | 549 | $0.00 | |
| 1170F | 0% | 843 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 13 | $0.00 |
| 1101F | 0% | 625 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 194 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 701 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,007 | $0.00 |
| 1036F | 0% | 926 | $0.00 | |
| 1126F | 0% | 245 | $0.00 | |
| 3017F | 0% | 30 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 609 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 249 | $0.00 |
| 1125F | 0% | 269 | $0.00 | |
| 3044F | 0% | 81 | $0.00 | |
| 0509F | 0% | 91 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 217 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 33 | $0.00 |
| 92250 | 0% | 12 | $0.00 | |
| 3061F | 0% | 16 | $0.00 | |
| 3060F | 0% | 17 | $0.00 | |
| 1111F | 0% | 13 | $0.00 | |
| G8866 | Documentation of patient reason(s) for not administering or previously receiving pneumococcal vaccine (e.g., patient refusal) | 0% | 35 | $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.
From NPPES
Who's on the registration
Authorized officialGARZA LOZANO, GILBERTO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Vital Med Urgent Care LLC | Laredo, TX | $5.37M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.