ARTEMIO GARCIA, Ph.D., LPC-S
NPI 1639690472, individual, Rio Grande City, TX, Counselor, Professional
- Hours beyond a day in 5 months, but with up to 569 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2024 | More hours than a day holds, even counting one unit per claim line | 30.1 | 16.8 | 11.2 | 15.5 | 530 | 2 | 90791 90837 96130 96131 96136 96137 | $48K |
| Mar 2024 | More hours than a day holds, even counting one unit per claim line | 24.3 | 13.2 | 8.8 | 13.0 | 492 | 2 | 90791 90837 96130 96131 96136 96137 | $39K |
| May 2024 | More hours than a day holds, even counting one unit per claim line | 28.7 | 13.8 | 9.2 | 12.4 | 569 | 2 | 90791 90837 96130 96131 96136 96137 | $44K |
| Jun 2024 | More hours than a day holds, even counting one unit per claim line | 25.4 | 10.5 | 7.0 | 10.5 | 494 | 2 | 90837 96130 96131 96136 96137 | $31K |
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 25.4 | 11.2 | 7.5 | 10.1 | 518 | 2 | 90837 96130 96131 96136 96137 | $34K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ARTEMIO GARCIA, Ph.D., LPC-S |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 2, 2017, last updated July 30, 2026 |
| Practice location | 216 N FM 3167 UNIT 6, Rio Grande City, TX 78582-7060, 956-844-3000 |
| Mailing address | 216 N FM 3167 UNIT 7, Rio Grande City, TX 78582-7060 |
| Specialties | Counselor, Professional (101YP2500X, primary, license 72692 TX) |
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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hourhistory of abuse | $507K | 45% | $133 | $191 (top 5% from $442) | 24th percentile | |
| 96131 | Evaluation of psychological test, each additional hour | $170K | 15% | $76 | $170 (top 5% from $515) | 15th percentile | |
| 96130 | Evaluation of psychological test, first hour | $159K | 14% | $67 | $84 (top 5% from $233) | 36th percentile | |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | $82K | 7% | $65 | $116 (top 5% from $454) | 28th percentile | |
| 96132 | Evaluation of neuropsychological test, first hour | $65K | 6% | $80 | $92 (top 5% from $247) | 43rd percentile | |
| 96133 | Evaluation of neuropsychological test, each additional hour | $52K | 5% | $85 | $238 (top 5% from $751) | 19th percentile | |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | $40K | 4% | $29 | $36 (top 5% from $90) | 34th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $37K | 3% | $75 | $105 (top 5% from $228) | 28th percentile |
In this area
5 providers in Starr County, TX carry an indicator in the public record, with $4.2M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | CELIA ZUNIGA Rio Grande City, TX, ranked 249 | $19K |
|
| 4 | DARIA BABINEAUX Rio Grande City, TX, ranked 8798 | $1.7M |
|
| 5 | MARIO RODRIGUEZ Rio Grande City, TX, ranked 10059 | $1.3M |
|
| 5 | MARIA VALDEZ Roma, TX, ranked 10944 | $1.2M | |
| 5 | YVETTE BELTRAN DBA LOS GIRASOLES ADULT DAY Rio Grande City, TX, ranked 11838 | $28K |
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.