Physician
Garcia Medical Clinic LLC
Garcia Medical Clinic LLC was paid $191K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoGARCIA MEDICAL CLINIC LLC
DEFUNIAK SPRINGS, FL 32433
DEFUNIAK SPRINGS, FL 32433
33aNPI1407971922assigned 03/21/2007
33bProvider typeGeneral Practice Physician
28Total paid$191K
24GClaims8,516
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#92 of 420
Median peer was paid$23K
This provider vs. median8.4×
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 | 378 | $3K | |
| 2019 | 1,689 | $45K | |
| 2020 | 1,418 | $42K | |
| 2021 | 1,288 | $32K | |
| 2022 | 1,300 | $26K | |
| 2023 | 1,187 | $22K | |
| 2024incomplete | 1,256 | $20K |
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 | 83% | 6,849 | 5,445 | $157K |
| 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 | 16% | 1,423 | 1,149 | $30K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 142 | 113 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 15 | $786.17 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | 16 | $643.23 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | 13 | $13.07 |
| 99173 | 0% | 14 | 14 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 16 | 16 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 15 | 15 | $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 officialGARCIA, RUBEN (PHYSICIAN/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lando, INC. | Alice, TX | $53.34M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.