Physician
Garcia, Gilbert
Garcia, Gilbert was paid $159K by Medicaid between Jan 2018 and May 2020, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoGARCIA, GILBERT
HUMBLE, TX 77338
HUMBLE, TX 77338
33aNPI1629062039assigned 08/31/2005
33bProvider typePediatrics Physician
28Total paid$159K
24GClaims5,452
24DCodes billed24
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#657 of 1,136
Median peer was paid$329K
This provider vs. median0.5×
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 | 352 | $13K | |
| 2019 | 1,336 | $41K | |
| 2020 | 3,764 | $104K |
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 | 42% | 1,764 | 1,451 | $67K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 247 | 246 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 207 | 191 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 207 | 206 | $18K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.1% | 533 | 252 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 945 | 401 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.8% | 394 | 377 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 41 | 41 | $3K |
| 99429 | 1.5% | 65 | 65 | $2K | |
| 90461 | 1.1% | 238 | 201 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 206 | 162 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 15 | 13 | $1K |
12 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 31 | $467.15 |
| 96160 | <1% | 244 | $427.06 | |
| 87807 | <1% | 23 | $271.94 | |
| 90651 | <1% | 69 | $28.45 | |
| 94760 | <1% | 20 | $10.35 | |
| 90680 | 0% | 13 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90686 | 0% | 39 | $0.00 | |
| 90670 | 0% | 95 | $0.00 | |
| 90648 | 0% | 17 | $0.00 | |
| 90734 | 0% | 14 | $0.00 | |
| 90707 | 0% | 12 | $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.