Garcia, Marco

Garcia, Marco was paid $2.17M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoGARCIA, MARCO
ELMHURST, NY 11373

33aNPI1730103672assigned 07/26/2006

33bProvider typeInternal Medicine Physician

28Total paid$2.17M

24GClaims220,918

24DCodes billed69

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#123 of 6,049

Median peer was paid$11K

This provider vs. median192×

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	20,531	$56K
2019	25,705	$292K
2020	31,774	$377K
2021	39,929	$464K
2022	37,237	$378K
2023	38,574	$352K
2024incomplete	27,168	$247K

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	41%	26,438	21,149	$898K
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	30%	12,688	11,343	$659K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	5.7%	1,614	1,608	$123K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.0%	5,311	4,820	$87K
93000		2.6%	5,626	5,597	$56K
94060		1.9%	1,352	1,348	$41K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.5%	2,292	2,239	$32K
99441		1.1%	1,393	1,272	$24K
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	1.1%	221	220	$24K
3074F		1.0%	13,583	11,261	$22K
3078F		<1%	11,838	9,957	$19K
99401		<1%	894	887	$18K

57 more codes

99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	222	$17K
90688		<1%	928	$16K
90756		<1%	533	$12K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	2,340	$12K
90746		<1%	174	$11K
94010		<1%	564	$10K
99203	Doctor's office visit, new patient (routine)	<1%	136	$9K
99397		<1%	171	$8K
3079F		<1%	4,589	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	564	$7K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	235	$6K
94729		<1%	1,517	$5K
94727		<1%	1,523	$4K
1111F		<1%	1,058	$4K
3077F		<1%	1,906	$4K
3075F		<1%	2,262	$4K
99490	Ccm add 20min	<1%	359	$3K
99439		<1%	149	$3K
1160F		<1%	15,392	$3K
1159F		<1%	13,739	$3K
Q2037	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	<1%	159	$3K
3080F		<1%	1,129	$2K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	167	$2K
81002		<1%	1,924	$2K
90658		<1%	73	$1K
36415	Collection of venous blood by venipuncture	<1%	11,405	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	15,844	$1K
99385		<1%	12	$1K
99442		<1%	36	$768.96
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	1,627	$547.53
1126F		<1%	2,558	$505.00
99497		<1%	64	$282.05
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	13,496	$223.93
G0008	Administration of influenza virus vaccine	<1%	120	$94.12
99487	Ccm add 20min	<1%	16	$86.75
3008F		<1%	22,161	$73.22
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	66	$56.72
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	<1%	52	$49.46
96127		<1%	47	$45.62
99453		<1%	18	$32.24
99051		<1%	127	$21.14
1125F		<1%	586	$15.00
1170F		<1%	77	$15.00
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	16	$12.49
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	2,137	$0.00
3050F		0%	964	$0.00
G8482	Influenza immunization administered or previously received	0%	2,053	$0.00
3051F		0%	25	$0.00
1158F		0%	91	$0.00
0521F		0%	62	$0.00
3044F		0%	6,772	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	2,249	$0.00
3048F		0%	1,555	$0.00
3049F		0%	1,134	$0.00
99429		0%	456	$0.00
1157F		0%	16	$0.00
3014F		0%	13	$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.