Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GARCIA, MARCO

NPI: 1730103672 · ELMHURST, NY 11373 · Internal Medicine Physician · NPI assigned 07/26/2006

$2.17M
Total Medicaid Paid
220,918
Total Claims
189,709
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 27,168 $247K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,438 21,149 $898K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,688 11,343 $659K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,614 1,608 $123K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,311 4,820 $87K
93000 5,626 5,597 $56K
94060 1,352 1,348 $41K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,292 2,239 $32K
99441 1,393 1,272 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 221 220 $24K
3074F 13,583 11,261 $22K
3078F 11,838 9,957 $19K
99401 894 887 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 222 221 $17K
90688 928 927 $16K
90756 533 532 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,340 1,928 $12K
90746 174 174 $11K
94010 564 563 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 136 136 $9K
99397 171 170 $8K
3079F 4,589 4,037 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 564 562 $7K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 235 233 $6K
94729 1,517 1,511 $5K
94727 1,523 1,518 $4K
1111F 1,058 919 $4K
3077F 1,906 1,745 $4K
3075F 2,262 2,068 $4K
99490 Ccm add 20min 359 359 $3K
99439 149 149 $3K
1160F 15,392 12,504 $3K
1159F 13,739 11,285 $3K
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 159 159 $3K
3080F 1,129 1,063 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 167 163 $2K
81002 1,924 1,890 $2K
90658 73 73 $1K
36415 Collection of venous blood by venipuncture 11,405 11,054 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15,844 12,964 $1K
99385 12 12 $1K
99442 36 32 $768.96
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,627 1,464 $547.53
1126F 2,558 2,160 $505.00
99497 64 64 $282.05
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 13,496 10,821 $223.93
G0008 Administration of influenza virus vaccine 120 120 $94.12
99487 Ccm add 20min 16 16 $86.75
3008F 22,161 17,399 $73.22
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 66 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)). 52 48 $49.46
96127 47 47 $45.62
99453 18 18 $32.24
99051 127 119 $21.14
1125F 586 574 $15.00
1170F 77 76 $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) 16 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) 2,137 1,877 $0.00
3050F 964 956 $0.00
G8482 Influenza immunization administered or previously received 2,053 1,861 $0.00
3051F 25 24 $0.00
1158F 91 91 $0.00
0521F 62 51 $0.00
3044F 6,772 6,197 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,249 1,896 $0.00
3048F 1,555 1,552 $0.00
3049F 1,134 1,131 $0.00
99429 456 384 $0.00
1157F 16 16 $0.00
3014F 13 13 $0.00