Garcia Prieto, Carlos

Garcia Prieto, Carlos was paid $70K by Medicaid between Jan 2019 and Jan 2023, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 63% of everything it billed.

33Billing provider infoGARCIA PRIETO, CARLOS
SEBRING, FL 33870

33aNPI1689728800assigned 01/23/2007

33bProvider typePsychiatry Physician

28Total paid$70K

24GClaims1,604

24DCodes billed3

24AFirst – last monthJan 2019 – Jan 2023

Compared with peers

Next to other Psychiatry Physician providers in Florida

Rank by total paid#103 of 267

Median peer was paid$28K

This provider vs. median2.5×

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
2019	232	$875.56
2020	117	$5K
2021	279	$12K
2022	939	$51K
2023	37	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	63%	805	742	$44K
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	33%	729	658	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	70	65	$2K

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.