Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Garay, Luis

Garay, Luis was paid $609K by Medicaid between Jan 2022 and Nov 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoGARAY, LUIS
NEWARK, NJ 07107
33aNPI1821080490assigned 08/18/2005
33bProvider typePediatrics Physician
28Total paid$609K
24GClaims38,599
24DCodes billed43
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#156 of 549
Median peer was paid$154K
This provider vs. median4.0×

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$10K$20K$30K2018201920202021202220232024
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
202212,305$210K
202312,073$235K
2024incomplete14,221$164K
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 64% 10,168 7,713 $391K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.5% 1,134 925 $39K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.2% 899 741 $32K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.0% 939 704 $30K
90472 Immunization administration, each additional vaccine (list separately) 4.5% 1,517 1,201 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.2% 2,477 2,030 $25K
90460 Immunization administration through 18 years of age via any route, first or only component 2.2% 534 478 $14K
90671 1.6% 422 303 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.6% 224 222 $10K
36415 Collection of venous blood by venipuncture 1.1% 4,394 3,273 $7K
90461 <1% 243 231 $4K
83655 <1% 959 759 $4K
31 more codes
99214 Doctor's office visit, returning patient (more involved) <1% 41 $3K
90651 <1% 393 $3K
36406 <1% 338 $2K
86580 <1% 451 $2K
90620 <1% 393 $1K
36410 <1% 404 $828.10
90734 <1% 305 $719.51
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 16 $700.00
90656 <1% 749 $597.79
90710 <1% 43 $500.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 39 $353.72
92551 <1% 24 $348.48
90670 <1% 250 $225.00
90633 <1% 379 $154.16
90715 <1% 48 $148.80
99177 <1% 86 $79.20
99000 <1% 3,060 $75.78
90648 <1% 232 $73.14
90696 <1% 24 $58.36
97803 <1% 3,590 $52.65
90700 <1% 26 $35.48
90655 <1% 18 $15.43
90723 0% 80 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 0% 54 $0.00
3008F 0% 2,936 $0.00
90698 0% 45 $0.00
90647 0% 52 $0.00
90680 0% 125 $0.00
90716 0% 14 $0.00
99173 0% 460 $0.00
90707 0% 14 $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.