Garcia, Geronimo

Garcia, Geronimo was paid $795K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.

33Billing provider infoGARCIA, GERONIMO
DECATUR, IL 62526

33aNPI1417042938assigned 10/03/2006

33bProvider typeFamily Medicine Physician

28Total paid$795K

24GClaims13,979

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#125 of 2,947

Median peer was paid$43K

This provider vs. median19×

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	1,929	$75K
2019	2,587	$102K
2020	3,164	$159K
2021	2,046	$146K
2022	1,944	$131K
2023	1,261	$90K
2024incomplete	1,048	$92K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	49%	4,989	4,539	$388K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	31%	4,367	3,981	$244K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	19%	4,472	3,921	$150K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.6%	115	96	$13K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	36	36	$798.60

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.