Garcia, Pamela

Garcia, Pamela was paid $75K by Medicaid between Aug 2021 and Apr 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoGARCIA, PAMELA
BELVIDERE, IL 61008

33aNPI1477070456assigned 08/29/2017

33bProvider typeNurse Practitioner

28Total paid$75K

24GClaims1,300

24DCodes billed4

24AFirst – last monthAug 2021 – Apr 2024

Compared with peers

Next to other Nurse Practitioner providers in Illinois

Rank by total paid#412 of 1,687

Median peer was paid$22K

This provider vs. median3.4×

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
2021	180	$9K
2022	589	$32K
2023	373	$23K
2024incomplete	158	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	69%	778	723	$52K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	474	441	$22K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.6%	14	14	$1K
90686		<1%	34	20	$649.34

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.