Garcia, Ramon

Garcia, Ramon was paid $30K by Medicaid between Jan 2018 and May 2022, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 80% of everything it billed.

33Billing provider infoGARCIA, RAMON
GALESBURG, IL 61401

33aNPI1710928700assigned 06/09/2006

33bProvider typeInternal Medicine Physician

28Total paid$30K

24GClaims871

24DCodes billed5

24AFirst – last monthJan 2018 – May 2022

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#1,758 of 3,722

Median peer was paid$26K

This provider vs. median1.2×

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	85	$1K
2019	178	$4K
2020	246	$8K
2021	268	$13K
2022	94	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	80%	670	263	$24K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	124	53	$4K
99223	Prolong inpt eval add15 m	4.3%	16	13	$1K
99239	Hospital discharge day management, more than 30 minutes	3.0%	32	30	$901.27
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	29	13	$229.60

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.