Providers
MARIA RENEE ROCA GARCIA, MD
NPI 1104173186, individual, Mobile, AL, Pediatrics
5
Evidence tier
informational
- Medicaid dollars per patient on code 99223 ($300 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10270, $481K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARIA RENEE ROCA GARCIA, MD (also MARIA ROCA) |
| Type | Individual |
| Status | Active |
| NPI issued | August 9, 2012, last updated March 3, 2021 |
| Practice location | 1700 CENTER ST, Mobile, AL 36604-3301, 251-415-1343 |
| Mailing address | PO BOX 40480, Mobile, AL 36640-0480 |
| Specialties | Pediatrics (208000000X, primary, license 32656 AL) |
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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99239 | Hospital discharge day management, more than 30 minutes | $283K | 35% | $157 | $49 (top 5% from $101) | 99th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $190K | 24% | $178 | $67 (top 5% from $174) | 95th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $110K | 14% | $108 | $37 (top 5% from $103) | 96th percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $101K | 13% | $200 | $63 (top 5% from $137) | 99th percentile | |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $97K | 12% | $300 | $81 (top 5% from $170) | 100th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $23K | 3% | $256 | $96 (top 5% from $249) | 95th percentile | |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | $2K | 0% | $140 | $50 (top 5% from $194) | too few months to rank |
In this area
6 providers in Mobile County, AL carry an indicator in the public record, with $2.5M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ASERACARE HOSPICE - MONROEVILLE, LLC Mobile, AL, ranked 3116 | $0 |
|
| 3 | KARE-IN-HOME HOSPICE OF MOBILE, LLC Saraland, AL, ranked 4776 | $0 |
|
| 4 | MANIMARAN RAMANI Mobile, AL, ranked 7941 | $500K |
|
| 5 | PRASIT NIMITYONGSKUL Mobile, AL, ranked 10048 | $1.3M |
|
| 5 | MELODY PETTY Mobile, AL, ranked 10215 | $615K |
|
| 5 | TRANSITIONAL CARE LLC Mobile, AL, ranked 11980 | $892 |
Recent enforcement in AL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Alabama Provider Pays $300,000 to Resolve False Claims as Part of 2026 National Health Care Fraud Takedown
A Phenix City-based provider billed Alabama Medicaid for Basic Living Skills services for at-risk children that were not actually rendered.
DOJSentencedApr 2, 2026
Former Medicaid Provider Sentenced to Federal Prison for Health Care Fraud and Aggravated Identity Theft
Pulliam, a child and family therapist enrolled as an Alabama Medicaid provider, submitted claims for counseling services that were never provided using beneficiaries' identifying information without consent.
DOJCivil judgmentMar 19, 2026
Mississippi Man Ordered to Pay $31 Million for Role in Healthcare Kickback Scheme
Crites and others referred patients, primarily TRICARE beneficiaries, to Cloverland Pharmacy in exchange for kickbacks paid by the pharmacy for each referral.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and thus ineligible for the Medicare hospice benefit.
DOJCivil settlementFeb 21, 2025
Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients
Saad Healthcare submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and were ineligible for the Medicare hospice benefit.
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.