Garcias' Family Health Group

Garcias' Family Health Group was paid $3K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoGARCIAS' FAMILY HEALTH GROUP
HARLINGEN, TX 78550

33aNPI1497951206assigned 06/27/2007

33bProvider typeFamily Medicine Physician

28Total paid$3K

24GClaims621

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#912 of 1,204

Median peer was paid$31K

This provider vs. median0.1×

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	491	$460.76
2019	78	$1K
2020	52	$1K

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	100%	340	325	$3K
1170F		0%	229	210	$0.00
36415	Collection of venous blood by venipuncture	0%	26	24	$0.00
G8540	Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter	0%	26	26	$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 officialSAUCEDA, LORI (MANAGER)