Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MARCO A. GARCIA, MD, PC

NPI: 1932326246 · JACKSON HEIGHTS, NY 11372 · General Practice Physician · NPI assigned 04/19/2007

$3.31M
Total Medicaid Paid
146,716
Total Claims
125,638
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, MARCO (OWNER)
NPI Enumeration Date04/19/2007

Related Entities

Other providers sharing the same authorized official: GARCIA, MARCO

ProviderCityStateTotal Paid
HAPPY MEDICAL CARE PC ELMHURST NY $555K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,318 $252K
2019 23,925 $390K
2020 26,225 $563K
2021 31,013 $775K
2022 24,546 $556K
2023 13,911 $488K
2024 8,778 $286K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,328 14,010 $1.14M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,536 7,477 $808K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,712 2,710 $494K
93880 1,569 1,568 $259K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,264 1,260 $131K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,174 2,963 $126K
93000 4,028 4,017 $51K
94729 1,221 1,220 $43K
94060 839 838 $38K
94727 1,222 1,221 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,413 2,356 $26K
36415 Collection of venous blood by venipuncture 10,987 10,599 $18K
99441 493 466 $18K
99401 488 482 $15K
90688 822 818 $15K
93975 56 55 $14K
90756 561 561 $13K
94010 529 528 $13K
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 109 109 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 482 438 $7K
99490 Ccm add 20min 208 208 $7K
93976 36 36 $5K
90746 76 76 $5K
3074F 6,337 5,219 $4K
90658 233 232 $3K
3078F 4,880 4,158 $3K
99439 37 37 $2K
81002 1,767 1,738 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $2K
90674 89 89 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13,076 10,584 $2K
3044F 3,205 2,823 $2K
92546 15 13 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $1K
92540 13 13 $979.43
3079F 2,353 1,991 $916.00
99442 30 28 $861.60
99497 14 14 $685.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 323 296 $463.43
99051 68 63 $300.45
1160F 8,821 7,002 $202.00
1159F 7,841 6,321 $174.00
1126F 1,550 1,332 $70.00
92547 13 13 $37.34
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 16,717 13,101 $20.25
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 13 13 $18.52
3008F 10,816 8,361 $0.09
G8482 Influenza immunization administered or previously received 2,296 2,064 $0.00
3077F 400 350 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 2,981 2,633 $0.00
1158F 38 37 $0.00
3050F 27 27 $0.00
3075F 452 412 $0.00
1111F 358 316 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 2,359 1,913 $0.00
3048F 156 155 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 12 12 $0.00
3049F 99 99 $0.00
3080F 121 111 $0.00
1125F 27 26 $0.00