Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ivan H Garcia MD PC

Ivan H Garcia MD PC was paid $265K by Medicaid between Jan 2018 and Nov 2020, across 14 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 23% of everything it billed.

33Billing provider infoIVAN H GARCIA MD PC
BALTIMORE, MD 21244
33aNPI1417986712assigned 07/01/2006
33bProvider typeOptometrist
28Total paid$265K
24GClaims5,280
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Optometrist providers in Maryland

Rank by total paid#38 of 345
Median peer was paid$27K
This provider vs. median9.7×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,797$118K
20191,756$81K
20201,727$66K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 23% 1,527 1,386 $61K
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 19% 576 555 $51K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13% 587 556 $34K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 478 451 $30K
92083 9.9% 541 513 $26K
92133 6.9% 572 545 $18K
92134 6.0% 550 485 $16K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.3% 126 115 $11K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1.7% 19 14 $5K
92002 1.6% 94 87 $4K
92136 1.1% 141 127 $3K
67028 Intravitreal injection of a pharmacologic agent <1% 28 27 $3K
2 more codes
99204 Doctor's office visit, new patient (more involved) <1% 14 $2K
92015 Determination of refractive state <1% 27 $190.20

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 officialWASLOSKI, EDWARD (FOUNDING MEMBER)