Physician
Garcia, Cleo
Garcia, Cleo was paid $809K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 54% of everything it billed.
33Billing provider infoGARCIA, CLEO
CHICAGO, IL 60631
CHICAGO, IL 60631
33aNPI1598051773assigned 06/25/2011
33bProvider typeEmergency Medicine Physician
28Total paid$809K
24GClaims13,472
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Illinois
Rank by total paid#30 of 1,980
Median peer was paid$150K
This provider vs. median5.4×
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 | 1,873 | $73K | |
| 2019 | 2,832 | $122K | |
| 2020 | 2,477 | $135K | |
| 2021 | 1,961 | $136K | |
| 2022 | 1,640 | $118K | |
| 2023 | 1,473 | $116K | |
| 2024incomplete | 1,216 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 54% | 5,667 | 5,144 | $438K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 4,249 | 3,837 | $240K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 3,042 | 2,704 | $102K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.0% | 252 | 212 | $24K |
| 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 | <1% | 115 | 99 | $5K |
| 93042 | <1% | 147 | 125 | $89.84 |
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.