Physician
Urbina MD & Garcia PA PC
Urbina MD & Garcia PA PC was paid $20K by Medicaid between Jan 2022 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoURBINA MD & GARCIA PA PC
RIALTO, CA 92376
RIALTO, CA 92376
33aNPI1972174118assigned 07/08/2021
33bProvider typeFamily Medicine Physician
28Total paid$20K
24GClaims10,129
24DCodes billed28
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,118 of 2,511
Median peer was paid$13K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2022 | 3,153 | $1K | |
| 2023 | 3,751 | $3K | |
| 2024incomplete | 3,225 | $16K |
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 | 33% | 1,225 | 1,166 | $7K |
| 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 | 20% | 1,408 | 1,333 | $4K |
| G9920 | Screening performed and negative | 10% | 857 | 850 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 6.1% | 687 | 684 | $1K |
| H0049 | Alcohol and/or drug screening | 5.9% | 913 | 910 | $1K |
| 96156 | 4.9% | 176 | 174 | $986.92 | |
| 1036F | 3.4% | 592 | 589 | $687.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 3.3% | 208 | 208 | $660.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 3.3% | 211 | 211 | $659.08 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 64 | 64 | $628.76 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 12 | 12 | $600.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.3% | 159 | 157 | $267.52 |
16 more codes
| 99406 | <1% | 101 | $174.92 | |
| 94760 | <1% | 1,318 | $166.99 | |
| 96160 | <1% | 37 | $125.14 | |
| 3008F | <1% | 425 | $23.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 141 | $11.88 |
| 3074F | <1% | 546 | $9.00 | |
| 3078F | <1% | 641 | $9.00 | |
| 3079F | <1% | 182 | $2.00 | |
| 3075F | <1% | 70 | $1.00 | |
| 3077F | <1% | 74 | $1.00 | |
| 85018 | 0% | 12 | $0.00 | |
| 92551 | 0% | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 81002 | 0% | 12 | $0.00 | |
| 99173 | 0% | 14 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 17 | $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 officialURBINA, MARVIN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Carrillo, Urbina & Castuera, MDS INC | Montclair, CA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.