Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HIRAM L. GARCIA, M.D., P.A.

NPI: 1396867636 · PHARR, TX 78577 · 207Q00000X

$5.79M
Total Medicaid Paid
608,980
Total Claims
476,374
Beneficiaries
161
Codes Billed
2018-01
First Month
2024-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,860 $139K
2019 41,222 $193K
2020 73,795 $530K
2021 164,470 $1.74M
2022 205,020 $2.64M
2023 77,815 $537K
2024 798 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 45,057 36,947 $1.58M
99213 42,012 34,350 $1.03M
87804 32,829 15,152 $358K
87426 9,874 8,971 $347K
87811 8,320 7,444 $266K
87635 5,471 4,932 $216K
85025 44,816 37,579 $216K
99394 3,282 3,208 $212K
99444 3,156 1,040 $179K
99393 2,731 2,696 $175K
87880 15,021 13,874 $170K
96372 16,060 10,537 $130K
99423 2,338 778 $128K
99392 1,695 1,654 $106K
99000 9,337 8,482 $72K
99203 1,336 1,319 $61K
99395 1,253 1,209 $57K
76700 711 706 $57K
99211 7,038 6,577 $48K
99391 790 766 $45K
90460 5,466 2,351 $35K
99202 740 736 $27K
71046 1,261 1,195 $22K
76856 295 293 $21K
99421 1,169 540 $20K
99422 801 418 $17K
90471 2,049 1,761 $14K
81003 13,590 10,815 $12K
93000 1,361 1,317 $11K
80061 3,591 3,491 $11K
0001A 427 421 $10K
90472 1,583 767 $10K
90461 1,677 1,349 $9K
83036 2,856 2,785 $9K
72100 369 364 $9K
0002A 336 319 $8K
99396 157 150 $8K
82947 9,129 6,382 $8K
74018 280 273 $5K
83013 139 133 $5K
99212 239 219 $4K
72070 181 180 $4K
90658 976 961 $4K
73560 185 145 $4K
87807 346 329 $3K
96110 495 325 $3K
81002 1,474 1,317 $3K
84703 584 545 $3K
J1885 Ketorolac tromethamine inj 2,725 2,243 $2K
73620 139 122 $2K
97170 139 133 $2K
J0696 Ceftriaxone sodium injection 6,592 6,004 $2K
97169 79 79 $2K
72040 88 88 $2K
99091 60 59 $2K
99381 26 26 $2K
73610 65 55 $1K
82044 743 728 $1K
G0179 Md recertification hha pt 901 901 $1K
73130 54 48 $1K
99454 1,002 995 $1K
76881 12 12 $1K
99382 13 13 $1K
J1100 Dexamethasone sodium phos 3,958 3,585 $984.25
0003A 32 31 $920.00
76770 13 13 $910.78
99457 1,040 1,031 $884.84
76536 13 13 $850.26
90715 461 454 $790.85
94640 99 95 $775.52
0013A 29 28 $760.00
0011A 28 28 $760.00
99458 926 919 $740.05
0012A 26 26 $720.00
99215 Prolong outpt/office vis 12 12 $663.53
73030 27 24 $614.10
G2012 Brief check in by md/qhp 290 236 $564.24
0072A 21 21 $560.00
83014 125 119 $528.00
99384 13 13 $510.07
86580 66 62 $421.11
0071A 13 13 $400.00
J2010 Lincomycin injection 28 24 $390.61
90674 18 18 $317.79
90734 800 784 $290.04
90620 264 258 $290.03
83655 27 26 $271.42
J1040 Methylprednisolone 80 mg inj 47 44 $253.96
J3420 Vitamin b12 injection 956 823 $205.15
94150 44 42 $161.57
90732 14 14 $101.51
J2405 Ondansetron hcl injection 296 283 $98.37
82570 265 263 $92.49
84030 13 12 $74.10
90662 215 209 $54.58
99496 47 44 $44.54
99407 160 158 $22.47
G0444 Depression screen annual 483 481 $18.21
36415 5,635 5,331 $15.13
G9716 Bmi doc onl fup not cmpltd 134 131 $15.00
94760 29 27 $6.53
J7613 Albuterol non-comp unit 86 83 $3.78
90650 75 75 $0.03
1160F 12,180 9,846 $0.00
G8417 Calc bmi abv up param f/u 21,104 15,197 $0.00
G8427 Docrev cur meds by elig clin 18,202 13,783 $0.00
G8783 Bp scrn perf rec interval 15,695 12,440 $0.00
G8752 Sys bp less 140 15,661 12,195 $0.00
3078F 6,221 5,261 $0.00
90710 583 567 $0.00
90670 869 852 $0.00
G8753 Sys bp > or = 140 4,522 3,748 $0.00
3077F 1,203 1,072 $0.00
90633 543 532 $0.00
0521F 14,965 11,779 $0.00
90648 798 785 $0.00
91300 29 26 $0.00
90700 95 94 $0.00
1159F 400 328 $0.00
G9509 Adit mdd dys rem 12 mnths 13 13 $0.00
90649 56 56 $0.00
99490 Ccm add 20min 162 162 $0.00
84439 86 84 $0.00
90685 22 18 $0.00
96160 12 12 $0.00
99453 25 25 $0.00
Q2038 Fluzone vacc, 3 yrs & >, im 39 37 $0.00
G2023 Specimen collect covid-19 18 17 $0.00
3075F 3,718 3,270 $0.00
G8950 Pre-htn or htn doc, f/u indc 16,870 12,993 $0.00
3079F 4,435 3,853 $0.00
G8420 Calc bmi norm parameters 13,194 10,192 $0.00
3074F 6,432 5,434 $0.00
1036F 33,248 23,418 $0.00
G9903 Pt scrn tbco id as non user 536 389 $0.00
G8755 Dias bp > or = 90 1,049 946 $0.00
1126F 13,948 10,980 $0.00
G0008 Admin influenza virus vac 288 244 $0.00
G8754 Dias bp less 90 19,066 14,235 $0.00
3080F 659 598 $0.00
G8418 Calc bmi blw low param f/u 3,156 2,823 $0.00
90723 565 554 $0.00
90680 508 498 $0.00
G0439 Ppps, subseq visit 353 348 $0.00
2000F 34,494 23,982 $0.00
1125F 6,266 5,084 $0.00
1111F 902 861 $0.00
1000F 289 253 $0.00
99439 163 163 $0.00
G8510 Scr dep neg, no plan reqd 112 107 $0.00
G8422 Pt inelig bmi calculation 306 243 $0.00
0001F 164 138 $0.00
90696 213 206 $0.00
3008F 45 35 $0.00
84443 17 14 $0.00
91301 55 55 $0.00
G0009 Admin pneumococcal vaccine 13 13 $0.00
1101F 14 14 $0.00
90657 15 15 $0.00
1170F 22 14 $0.00
1034F 13 12 $0.00