Physician
Garcia, Benjamin
Garcia, Benjamin was paid $598K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.
33Billing provider infoGARCIA, BENJAMIN
NAPERVILLE, IL 60540
NAPERVILLE, IL 60540
33aNPI1952733180assigned 07/30/2013
33bProvider typeEmergency Medicine Physician
28Total paid$598K
24GClaims14,521
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Illinois
Rank by total paid#89 of 1,980
Median peer was paid$150K
This provider vs. median4.0×
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 | 3,101 | $105K | |
| 2019 | 4,184 | $128K | |
| 2020 | 3,139 | $113K | |
| 2021 | 1,075 | $75K | |
| 2022 | 1,095 | $55K | |
| 2023 | 1,070 | $66K | |
| 2024incomplete | 857 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 49% | 4,405 | 3,945 | $296K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 33% | 4,047 | 3,709 | $196K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 2,155 | 1,976 | $68K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.4% | 205 | 164 | $20K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.9% | 2,155 | 1,951 | $17K |
| 93042 | <1% | 179 | 134 | $565.30 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 269 | 244 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 232 | 209 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 82 | 48 | $0.00 |
| 99053 | 0% | 81 | 48 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 711 | 622 | $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.