Arce-Garzon, Sandra

Arce-Garzon, Sandra was paid $26K by Medicaid between Jan 2018 and May 2019, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoARCE-GARZON, SANDRA
MILWAUKEE, WI 53221

33aNPI1669477394assigned 06/17/2005

33bProvider typePediatrics Physician

28Total paid$26K

24GClaims1,444

24DCodes billed17

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Pediatrics Physician providers in Wisconsin

Rank by total paid#61 of 200

Median peer was paid$4K

This provider vs. median5.9×

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	1,327	$23K
2019	117	$2K

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	57%	294	260	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	143	119	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.7%	32	29	$1K
D1208	Topical application of fluoride, excluding varnish	4.6%	121	114	$1K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.4%	18	14	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.9%	199	184	$750.46
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.9%	19	15	$741.89
85018		1.6%	229	196	$409.41
3008F		1.4%	44	41	$360.00
83655		1.2%	38	31	$321.82
99173		<1%	14	14	$228.00
36416		<1%	151	140	$206.04

5 more codes

92551		<1%	14	$76.14
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	15	$67.56
90658		<1%	14	$43.03
86580		<1%	12	$42.91
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	87	$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.