Physician
Garcia, Don
Garcia, Don was paid $1.01M by Medicaid between Jan 2018 and Jun 2023, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoGARCIA, DON
LA HABRA, CA 90631
LA HABRA, CA 90631
33aNPI1669574968assigned 09/05/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.01M
24GClaims33,036
24DCodes billed47
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#168 of 2,511
Median peer was paid$13K
This provider vs. median79×
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 | 8,605 | $315K | |
| 2019 | 9,705 | $320K | |
| 2020 | 7,143 | $180K | |
| 2021 | 7,006 | $161K | |
| 2022 | 433 | $31K | |
| 2023 | 144 | $3K |
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 | 40% | 8,476 | 6,917 | $405K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 10% | 146 | 127 | $104K |
| 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 | 9.0% | 1,577 | 1,428 | $90K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.3% | 760 | 687 | $84K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.3% | 744 | 744 | $74K |
| 96156 | 4.8% | 1,708 | 1,677 | $48K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 650 | 576 | $31K |
| 96151 | 2.7% | 1,773 | 1,705 | $27K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 333 | 328 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 275 | 267 | $19K |
| 92551 | 1.5% | 1,195 | 1,184 | $15K | |
| 99406 | 1.5% | 1,103 | 1,083 | $15K |
35 more codes
| 97802 | 1.4% | 643 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 383 | $12K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.1% | 1,109 | $11K |
| 99385 | <1% | 78 | $8K | |
| G9920 | Screening performed and negative | <1% | 640 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 121 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 98 | $5K |
| 96150 | <1% | 314 | $5K | |
| 87110 | <1% | 173 | $3K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 29 | $2K |
| 88150 | <1% | 55 | $950.37 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $929.62 |
| 99173 | <1% | 300 | $854.02 | |
| 99401 | <1% | 136 | $773.95 | |
| 90674 | <1% | 27 | $745.16 | |
| 99386 | <1% | 12 | $500.00 | |
| 90658 | <1% | 28 | $344.25 | |
| 87850 | <1% | 52 | $313.04 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | <1% | 12 | $228.37 |
| 90649 | <1% | 26 | $216.00 | |
| 90672 | <1% | 21 | $214.00 | |
| 87070 | <1% | 27 | $212.67 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 12 | $193.51 |
| 90715 | <1% | 13 | $182.40 | |
| 3078F | <1% | 1,426 | $96.72 | |
| 3008F | <1% | 1,754 | $59.00 | |
| 1160F | <1% | 1,347 | $2.51 | |
| 1159F | <1% | 1,349 | $2.50 | |
| 1158F | <1% | 768 | $0.92 | |
| 3075F | <1% | 159 | $0.72 | |
| 3074F | <1% | 1,295 | $0.22 | |
| 3077F | 0% | 118 | $0.00 | |
| 1003F | 0% | 12 | $0.00 | |
| 1170F | 0% | 1,549 | $0.00 | |
| 3079F | 0% | 195 | $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.