Garza, Miguel
Garza, Miguel was paid $3.01M by Medicaid between Dec 2018 and Nov 2024, across 3 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 98% of everything it billed.
33Billing provider infoGARZA, MIGUEL
PHARR, TX 78577
PHARR, TX 78577
33aNPI1447584263assigned 09/25/2009
33bProvider typeOccupational Therapist
28Total paid$3.01M
24GClaims32,527
24DCodes billed3
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Occupational Therapist providers in Texas
Rank by total paid#10 of 299
Median peer was paid$93K
This provider vs. median32×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration98% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
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 | 27 | $2K | |
| 2020 | 2,113 | $199K | |
| 2021 | 8,286 | $785K | |
| 2022 | 8,226 | $777K | |
| 2023 | 8,082 | $692K | |
| 2024incomplete | 5,793 | $552K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 98% | 31,938 | 4,805 | $2.96M |
| 97168 | 1.4% | 562 | 526 | $43K | |
| 97166 | <1% | 27 | 26 | $2K |
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.