Physician
Garcia, Carlos
Garcia, Carlos was paid $508K by Medicaid between Jan 2018 and Oct 2024, across 56 billing codes. Its largest line is 96156, — 28% of everything it billed.
33Billing provider infoGARCIA, CARLOS
CHULA VISTA, CA 91913
CHULA VISTA, CA 91913
33aNPI1417959370assigned 08/11/2005
33bProvider typePediatrics Physician
28Total paid$508K
24GClaims76,350
24DCodes billed56
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#222 of 1,490
Median peer was paid$15K
This provider vs. median34×
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 | 16,241 | $96K | |
| 2019 | 15,306 | $87K | |
| 2020 | 11,033 | $46K | |
| 2021 | 10,849 | $133K | |
| 2022 | 9,669 | $85K | |
| 2023 | 7,619 | $56K | |
| 2024incomplete | 5,633 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 28% | 4,833 | 4,828 | $140K | |
| 99404 | 27% | 9,158 | 9,070 | $137K | |
| 90651 | 17% | 1,284 | 1,277 | $87K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 12,207 | 11,246 | $48K |
| 90674 | 2.6% | 617 | 617 | $13K | |
| 0071A | 2.0% | 248 | 248 | $10K | |
| 0072A | 1.9% | 245 | 245 | $10K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 2,183 | 2,159 | $8K |
| 0001A | 1.4% | 188 | 188 | $7K | |
| 90688 | 1.3% | 363 | 363 | $7K | |
| 0002A | 1.3% | 187 | 187 | $6K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 612 | 589 | $6K |
44 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,858 | $4K |
| 92551 | <1% | 6,530 | $3K | |
| 90670 | <1% | 885 | $3K | |
| 0003A | <1% | 64 | $3K | |
| 90686 | <1% | 2,539 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,289 | $2K |
| 90648 | <1% | 916 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,639 | $2K |
| 90723 | <1% | 299 | $1K | |
| 90685 | <1% | 171 | $1K | |
| 0073A | <1% | 27 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 160 | $703.83 |
| 0053A | <1% | 12 | $480.00 | |
| 90620 | <1% | 52 | $450.00 | |
| 96127 | <1% | 1,767 | $429.41 | |
| 90734 | <1% | 1,235 | $405.00 | |
| 92552 | <1% | 158 | $280.84 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 916 | $217.15 |
| 99000 | <1% | 1,804 | $180.42 | |
| 90461 | <1% | 328 | $150.00 | |
| 90710 | <1% | 347 | $126.00 | |
| 90715 | <1% | 355 | $120.00 | |
| 85018 | <1% | 1,718 | $96.19 | |
| 90633 | <1% | 427 | $96.00 | |
| 90680 | <1% | 89 | $78.00 | |
| 99173 | <1% | 6,138 | $77.88 | |
| 96160 | <1% | 4,887 | $70.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 329 | $53.52 |
| 99441 | <1% | 16 | $18.75 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,438 | $11.26 |
| 94150 | <1% | 165 | $11.14 | |
| 90696 | <1% | 26 | $9.00 | |
| 94664 | <1% | 110 | $8.60 | |
| 81003 | <1% | 100 | $5.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 487 | $0.03 |
| 3078F | 0% | 121 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 608 | $0.00 |
| 99442 | 0% | 95 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 52 | $0.00 |
| 1000F | 0% | 136 | $0.00 | |
| 94760 | 0% | 364 | $0.00 | |
| 36416 | 0% | 385 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 70 | $0.00 |
| 3074F | 0% | 113 | $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.