Physician
Garcia, Maria
Garcia, Maria was paid $564K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoGARCIA, MARIA
BOURBONNAIS, IL 60914
BOURBONNAIS, IL 60914
33aNPI1487667614assigned 08/15/2006
33bProvider typePediatrics Physician
28Total paid$564K
24GClaims13,898
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#265 of 1,805
Median peer was paid$55K
This provider vs. median10×
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 | 1,699 | $55K | |
| 2019 | 2,508 | $87K | |
| 2020 | 1,829 | $78K | |
| 2021 | 1,797 | $80K | |
| 2022 | 2,531 | $102K | |
| 2023 | 2,208 | $94K | |
| 2024incomplete | 1,326 | $68K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 5,742 | 4,800 | $267K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 1,437 | 1,078 | $98K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 671 | 523 | $51K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.1% | 2,507 | 2,100 | $40K |
| 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 | 4.0% | 310 | 264 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 251 | 211 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.9% | 464 | 435 | $16K |
| 90670 | 2.1% | 588 | 421 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 117 | 107 | $10K |
| 87428 | 1.3% | 113 | 106 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 367 | 168 | $6K |
| 96127 | <1% | 274 | 231 | $4K |
10 more codes
| 90698 | <1% | 285 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 173 | $3K |
| 90677 | <1% | 26 | $2K | |
| 90680 | <1% | 132 | $2K | |
| 87807 | <1% | 90 | $883.28 | |
| 90686 | <1% | 40 | $379.72 | |
| 90744 | <1% | 12 | $259.78 | |
| 81002 | <1% | 85 | $221.00 | |
| 90461 | 0% | 27 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 187 | $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.