Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Garcia, Katherine

Garcia, Katherine was paid $30K by Medicaid between Nov 2018 and Mar 2019, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoGARCIA, KATHERINE
SHELBYVILLE, KY 40065
33aNPI1801130687assigned 11/19/2012
28Total paid$30K
24GClaims1,107
24DCodes billed7
24AFirst – last monthNov 2018 – Mar 2019
Compared with peers

Next to other Pediatric Nurse Practitioner providers in Kentucky

Rank by total paid#15 of 27
Median peer was paid$37K
This provider vs. median0.8×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018211$6K
2019896$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 323 305 $13K
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 24% 110 106 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16% 296 145 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12% 215 207 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.4% 75 74 $715.29
90460 Immunization administration through 18 years of age via any route, first or only component 1.7% 15 15 $522.30
36416 0% 73 71 $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.