Garcia, Roberto

Garcia, Roberto was paid $63K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 51% of everything it billed.

33Billing provider infoGARCIA, ROBERTO
CAROL STREAM, IL 60188

33aNPI1508847872assigned 11/14/2005

33bProvider typeEmergency Medicine Physician

28Total paid$63K

24GClaims2,036

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,397 of 1,980

Median peer was paid$150K

This provider vs. median0.4×

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
2018	491	$16K
2019	237	$7K
2020	246	$6K
2021	304	$9K
2022	327	$10K
2023	282	$9K
2024incomplete	149	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	51%	915	865	$32K
99282	Emergency department visit for the evaluation and management, low to moderate severity	38%	957	822	$24K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	11%	150	134	$7K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	14	13	$200.90

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.