Garcia, Philip

Garcia, Philip was paid $57K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoGARCIA, PHILIP
SPRINGFIELD, IL 62703

33aNPI1831295815assigned 09/16/2006

33bProvider typeOtolaryngology Physician

28Total paid$57K

24GClaims1,725

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Illinois

Rank by total paid#74 of 221

Median peer was paid$21K

This provider vs. median2.7×

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	251	$6K
2019	366	$9K
2020	235	$6K
2021	152	$4K
2022	302	$11K
2023	294	$14K
2024incomplete	125	$7K

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	59%	1,240	1,140	$33K
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	37%	368	353	$21K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.0%	84	81	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	16	14	$503.10
69210		<1%	17	17	$192.60

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.