Garcia, Luis
Garcia, Luis was paid $530K by Medicaid between Jan 2018 and Apr 2021, across 13 billing codes. Its largest line is 76820, — 31% of everything it billed.
33Billing provider infoGARCIA, LUIS
PALO ALTO, CA 94304
PALO ALTO, CA 94304
33aNPI1861542664assigned 01/12/2007
33bProvider typeSpecialist
28Total paid$530K
24GClaims16,433
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Specialist providers in California
Rank by total paid#268 of 1,230
Median peer was paid$51K
This provider vs. median10×
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 | 3,686 | $116K | |
| 2019 | 5,476 | $174K | |
| 2020 | 6,701 | $222K | |
| 2021 | 570 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76820 | 31% | 4,441 | 2,555 | $162K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 20% | 3,372 | 2,558 | $104K |
| 76818 | 14% | 2,425 | 1,125 | $75K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 11% | 1,421 | 1,212 | $57K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 8.6% | 1,454 | 839 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 722 | 372 | $32K |
| 76819 | Fetal biophysical profile; without non-stress testing | 4.8% | 1,602 | 1,261 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 706 | 442 | $18K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 111 | 104 | $4K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 112 | 95 | $3K |
| 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 | <1% | 38 | 25 | $3K |
| 99242 | <1% | 15 | 15 | $1K |
1 more codes
| 59025 | Fetal non-stress test | <1% | 14 | $151.38 |
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.