Physician
Jorge A. Garza, M.D., P.A.
Jorge A. Garza, M.D., P.A. was paid $2.34M by Medicaid between Nov 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoJORGE A. GARZA, M.D., P.A.
SAN ANTONIO, TX 78223
SAN ANTONIO, TX 78223
33aNPI1831511765assigned 01/12/2014
33bProvider typePediatrics Physician
28Total paid$2.34M
24GClaims121,195
24DCodes billed56
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#206 of 1,136
Median peer was paid$329K
This provider vs. median7.1×
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 | 40 | $720.30 | |
| 2019 | 71 | $462.56 | |
| 2020 | 7,392 | $104K | |
| 2021 | 27,148 | $476K | |
| 2022 | 27,989 | $537K | |
| 2023 | 29,228 | $599K | |
| 2024incomplete | 29,327 | $621K |
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 | 22% | 14,732 | 13,388 | $510K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 5,970 | 5,916 | $440K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 4,610 | 4,465 | $337K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 3,739 | 3,704 | $296K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 26,616 | 12,594 | $282K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 1,459 | 1,447 | $123K |
| 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 | 4.8% | 2,336 | 2,230 | $112K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 1,087 | 1,063 | $43K |
| 99381 | 1.7% | 492 | 484 | $39K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 6,116 | 4,557 | $36K |
| 90461 | 1.2% | 6,384 | 5,356 | $29K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,996 | 963 | $26K |
44 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,692 | $22K |
| 92551 | <1% | 6,741 | $20K | |
| 0071A | <1% | 150 | $6K | |
| 0072A | <1% | 135 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 109 | $3K |
| 87807 | <1% | 191 | $2K | |
| 0081A | <1% | 38 | $2K | |
| 96380 | <1% | 78 | $1K | |
| 0082A | <1% | 37 | $1K | |
| 90480 | <1% | 29 | $940.00 | |
| 99173 | <1% | 6,999 | $881.28 | |
| 0083A | <1% | 17 | $680.00 | |
| 0154A | <1% | 14 | $520.00 | |
| 81002 | <1% | 14 | $38.41 | |
| 36416 | <1% | 2,869 | $7.40 | |
| 96127 | <1% | 1,435 | $5.22 | |
| 90619 | <1% | 135 | $0.21 | |
| 90656 | <1% | 714 | $0.05 | |
| 90723 | <1% | 648 | $0.01 | |
| 90670 | <1% | 2,036 | $0.01 | |
| 90648 | <1% | 1,490 | $0.01 | |
| 90697 | 0% | 1,666 | $0.00 | |
| 90680 | 0% | 1,566 | $0.00 | |
| 90686 | 0% | 5,129 | $0.00 | |
| 90716 | 0% | 556 | $0.00 | |
| 90698 | 0% | 292 | $0.00 | |
| 91307 | 0% | 325 | $0.00 | |
| 90696 | 0% | 463 | $0.00 | |
| 90651 | 0% | 743 | $0.00 | |
| 90381 | 0% | 29 | $0.00 | |
| 90688 | 0% | 19 | $0.00 | |
| 91315 | 0% | 14 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 90715 | 0% | 33 | $0.00 | |
| 90633 | 0% | 1,912 | $0.00 | |
| 96160 | 0% | 3,228 | $0.00 | |
| 90707 | 0% | 568 | $0.00 | |
| 90700 | 0% | 524 | $0.00 | |
| 90671 | 0% | 1,949 | $0.00 | |
| 90710 | 0% | 500 | $0.00 | |
| 90681 | 0% | 326 | $0.00 | |
| 91308 | 0% | 167 | $0.00 | |
| 90621 | 0% | 38 | $0.00 | |
| 90734 | 0% | 26 | $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.
From NPPES
Who's on the registration
Authorized officialGARZA, JORGE (OWNER)