Physician
Garcia, Antonio
Garcia, Antonio was paid $2.23M by Medicaid between Sep 2019 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoGARCIA, ANTONIO
TAMUNING, GU 96913
TAMUNING, GU 96913
33aNPI1841480050assigned 07/25/2007
33bProvider typePediatrics Physician
28Total paid$2.23M
24GClaims41,227
24DCodes billed26
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Guam
Rank by total paid#1 of 7
Median peer was paid$124K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2019 | 198 | $5K | |
| 2020 | 1,772 | $62K | |
| 2021 | 6,278 | $310K | |
| 2022 | 10,869 | $655K | |
| 2023 | 13,065 | $693K | |
| 2024incomplete | 9,045 | $501K |
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 | 52% | 15,264 | 12,534 | $1.16M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.8% | 3,746 | 3,390 | $218K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 1,456 | 1,363 | $145K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.3% | 6,908 | 6,181 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 1,276 | 1,173 | $125K |
| 90461 | 5.6% | 4,697 | 4,238 | $124K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 966 | 952 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 1,147 | 1,093 | $111K |
| 86580 | 1.6% | 3,535 | 3,276 | $35K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 214 | 206 | $22K |
| 90474 | <1% | 1,157 | 1,102 | $15K | |
| 99383 | <1% | 89 | 75 | $11K |
14 more codes
| 99382 | <1% | 35 | $4K | |
| 99384 | <1% | 13 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 139 | $271.21 |
| 90633 | 0% | 58 | $0.00 | |
| 90658 | 0% | 155 | $0.00 | |
| 90707 | 0% | 29 | $0.00 | |
| 90700 | 0% | 77 | $0.00 | |
| 90713 | 0% | 34 | $0.00 | |
| 90670 | 0% | 78 | $0.00 | |
| 90657 | 0% | 76 | $0.00 | |
| 90646 | 0% | 16 | $0.00 | |
| 90716 | 0% | 32 | $0.00 | |
| 90680 | 0% | 16 | $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.