Physician
Marco A. Garcia, MD, PC
Marco A. Garcia, MD, PC was paid $3.31M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoMARCO A. GARCIA, MD, PC
JACKSON HEIGHTS, NY 11372
JACKSON HEIGHTS, NY 11372
33aNPI1932326246assigned 04/19/2007
33bProvider typeGeneral Practice Physician
28Total paid$3.31M
24GClaims146,716
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in New York
Rank by total paid#12 of 178
Median peer was paid$27K
This provider vs. median123×
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 | 18,318 | $252K | |
| 2019 | 23,925 | $390K | |
| 2020 | 26,225 | $563K | |
| 2021 | 31,013 | $775K | |
| 2022 | 24,546 | $556K | |
| 2023 | 13,911 | $488K | |
| 2024incomplete | 8,778 | $286K |
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 | 34% | 17,328 | 14,010 | $1.14M |
| 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 | 24% | 8,536 | 7,477 | $808K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 15% | 2,712 | 2,710 | $494K |
| 93880 | 7.8% | 1,569 | 1,568 | $259K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.0% | 1,264 | 1,260 | $131K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 3,174 | 2,963 | $126K |
| 93000 | 1.5% | 4,028 | 4,017 | $51K | |
| 94729 | 1.3% | 1,221 | 1,220 | $43K | |
| 94060 | 1.2% | 839 | 838 | $38K | |
| 94727 | <1% | 1,222 | 1,221 | $32K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,413 | 2,356 | $26K |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,987 | 10,599 | $18K |
48 more codes
| 99441 | <1% | 493 | $18K | |
| 99401 | <1% | 488 | $15K | |
| 90688 | <1% | 822 | $15K | |
| 93975 | <1% | 56 | $14K | |
| 90756 | <1% | 561 | $13K | |
| 94010 | <1% | 529 | $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)). | <1% | 109 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 482 | $7K |
| 99490 | Ccm add 20min | <1% | 208 | $7K |
| 93976 | <1% | 36 | $5K | |
| 90746 | <1% | 76 | $5K | |
| 3074F | <1% | 6,337 | $4K | |
| 90658 | <1% | 233 | $3K | |
| 3078F | <1% | 4,880 | $3K | |
| 99439 | <1% | 37 | $2K | |
| 81002 | <1% | 1,767 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 90674 | <1% | 89 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 13,076 | $2K |
| 3044F | <1% | 3,205 | $2K | |
| 92546 | <1% | 15 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 92540 | <1% | 13 | $979.43 | |
| 3079F | <1% | 2,353 | $916.00 | |
| 99442 | <1% | 30 | $861.60 | |
| 99497 | <1% | 14 | $685.08 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 323 | $463.43 |
| 99051 | <1% | 68 | $300.45 | |
| 1160F | <1% | 8,821 | $202.00 | |
| 1159F | <1% | 7,841 | $174.00 | |
| 1126F | <1% | 1,550 | $70.00 | |
| 92547 | <1% | 13 | $37.34 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 16,717 | $20.25 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 13 | $18.52 |
| 3008F | <1% | 10,816 | $0.09 | |
| G8482 | Influenza immunization administered or previously received | 0% | 2,296 | $0.00 |
| 3077F | 0% | 400 | $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) | 0% | 2,981 | $0.00 |
| 1158F | 0% | 38 | $0.00 | |
| 3050F | 0% | 27 | $0.00 | |
| 3075F | 0% | 452 | $0.00 | |
| 1111F | 0% | 358 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,359 | $0.00 |
| 3048F | 0% | 156 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| 3049F | 0% | 99 | $0.00 | |
| 3080F | 0% | 121 | $0.00 | |
| 1125F | 0% | 27 | $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 officialGARCIA, MARCO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Happy Medical Care PC | Elmhurst, NY | $555K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.