Garcia, Imelda

Garcia, Imelda was paid $179K by Medicaid between Jan 2018 and May 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoGARCIA, IMELDA
FITCHBURG, MA 01420

33aNPI1689740201assigned 11/27/2006

33bProvider typePediatrics Physician

28Total paid$179K

24GClaims5,114

24DCodes billed11

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#308 of 1,273

Median peer was paid$24K

This provider vs. median7.5×

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	1,112	$42K
2019	1,294	$46K
2020	817	$29K
2021	796	$24K
2022	863	$28K
2023	232	$10K

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	46%	1,183	1,093	$83K
90460	Immunization administration through 18 years of age via any route, first or only component	17%	809	808	$30K
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	15%	273	256	$27K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.4%	1,024	1,020	$12K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	6.0%	1,029	1,026	$11K
99173		5.3%	369	369	$9K
92551		2.3%	378	378	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	12	12	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	12	12	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	12	12	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	13	$176.54

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.