Providers

ABELARDO GARCIA, M.D.

NPI 1083668370, individual, Roswell, NM, Pediatrics

5
Evidence tier
informational
score 31 of 100, rank 10972, $1.2M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameABELARDO GARCIA, M.D.
TypeIndividual
StatusActive
NPI issuedMay 20, 2006, last updated June 6, 2011
Practice location813 N WASHINGTON AVE, Roswell, NM 88201-3941, 575-622-2606
Specialties
Pediatrics (208000000X, primary, license 2002-0320 NM)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$913K18%$72$44 (top 5% from $110)84th percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$890K18%$116$60 (top 5% from $133)92nd percentile
99393Medicaid service code$359K7%$106$78 (top 5% from $121)90th percentile
99394Medicaid service code$324K6%$105$83 (top 5% from $128)79th percentile
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$290K6%$55$40 (top 5% from $69)86th percentile
99392Medicaid service code$287K6%$107$78 (top 5% from $124)89th percentile
99391Medicaid service code$209K4%$114$76 (top 5% from $126)92nd percentile
G0447Face-to-face behavioral counseling for obesity, 15 minutes$196K4%$32$0.14 (top 5% from $22)99th percentile

In this area

3 providers in Chaves County, NM carry an indicator in the public record, with $3.7M at stake between them. The most common is more hours than a day holds, on 2 of them, followed by part of a provider network on 1.

tierproviderat stakewhy
3NEW MEXICO HEALTHCARE SERVICES LLC
Roswell, NM, ranked 7076
$0
  • Part of provider network D1-00062, ranked 62 nationally.
5BARNIE RODRIGUEZ
Roswell, NM, ranked 9968
$2.0M
  • Medicaid dollars per patient on code 99232 ($201 per patient-month) sit in the top 5% of every provider billing that code.
5RUBEN SUPAN
Roswell, NM, ranked 10003
$1.7M
  • Medicaid dollars per patient on code 99223 ($182 per patient-month) sit in the top 5% of every provider billing that code.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.