Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SC › Newberry › NPI 1487630554
Physician

Jorge O Garcia, M.D., LLC

Jorge O Garcia, M.D., LLC was paid $518K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoJORGE O GARCIA, M.D., LLC
NEWBERRY, SC 29108
33aNPI1487630554assigned 12/20/2005
28Total paid$518K
24GClaims11,959
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in South Carolina

Rank by total paid#72 of 696
Median peer was paid$14K
This provider vs. median36×

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
20183,843$130K
20192,358$99K
20201,368$62K
20211,787$73K
20221,411$72K
2023894$60K
2024incomplete298$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67% 5,756 4,887 $347K
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 23% 1,605 1,373 $117K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.6% 468 370 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 2.5% 885 805 $13K
90460 Immunization administration through 18 years of age via any route, first or only component 1.9% 562 542 $10K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.1% 58 57 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 49 49 $4K
36415 Collection of venous blood by venipuncture <1% 1,370 1,246 $3K
85018 <1% 755 736 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 16 16 $1K
90461 <1% 54 51 $910.03
90674 <1% 52 40 $542.52
6 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 38 $514.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 22 $290.29
81003 <1% 112 $266.51
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 17 $103.25
90686 <1% 14 $45.78
90656 0% 126 $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.

From NPPES

Who's on the registration

Authorized officialGARCIA, JORGE (PROVIDER)
Same official

Other billing entities under GARCIA, JORGE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.