JOSE L GARCIA, MD
NPI 1801990932, individual, Hobbs, NM, Family Medicine
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOSE L GARCIA, MD |
| Type | Individual |
| Status | Active |
| NPI issued | September 11, 2006, last updated January 16, 2025 |
| Practice location | 2410 N FOWLER ST, Hobbs, NM 88240-2312, 575-392-2040 |
| Specialties | Family Medicine (207Q00000X, primary, license MD2005-0658 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.6M | 60% | $83 | $44 (top 5% from $110) | 89th percentile | |
| 99392 | Medicaid service code | $240K | 6% | $104 | $78 (top 5% from $124) | 88th percentile | |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | $213K | 5% | $102 | $71 (top 5% from $112) | 92nd percentile | |
| 99391 | Medicaid service code | $190K | 4% | $103 | $76 (top 5% from $126) | 87th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $189K | 4% | $106 | $67 (top 5% from $121) | 91st percentile | |
| 99393 | Medicaid service code | $133K | 3% | $105 | $78 (top 5% from $121) | 88th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $130K | 3% | $117 | $60 (top 5% from $133) | 92nd percentile | |
| 99394 | Medicaid service code | $92K | 2% | $105 | $83 (top 5% from $128) | 80th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 201 | 118 | $10K | $133 | $85 | 1.6x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 44 | 35 | $3K | $197 | $118 | 1.7x | 2.3x (90th percentile 3.8x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 26 | 26 | $1K | $196 | $103 | 1.9x | 2.4x (90th percentile 3.9x) |
| 36415 | Insertion of needle into vein for collection of blood sample | 93 | 59 | $790 | $22 | $8 | 2.6x | 2.0x (90th percentile 3.5x) |
| 83037 | Hemoglobin a1c level, by device for home use | 46 | 31 | $438 | $43 | $10 | 4.5x | 3.2x (90th percentile 6.3x) |
| 80053 | Blood test, comprehensive group of blood chemicals | 31 | 29 | $321 | $79 | $10 | 7.6x | 3.7x (90th percentile 7.4x) |
| 96372 | Injection of drug or substance under skin or into muscle | 34 | 29 | $258 | $43 | $13 | 3.3x | 3.6x (90th percentile 6.4x) |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 116 | 20 | $55 | $8 | $1 | 8.4x | 6.3x (90th percentile 22.6x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
4 providers in Lea County, NM carry an indicator in the public record, with $7.3M 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 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | NEW MEXICO HEALTHCARE SERVICES LLC Hobbs, NM, ranked 1423 | $50K |
|
| 5 | JERRIED NOSEFF Hobbs, NM, ranked 10757 | $2.6M | |
| 5 | LANCE DELONG Hobbs, NM, ranked 10767 | $2.4M | |
| 5 | MARTY SCHMIDT Hobbs, NM, ranked 10787 | $2.2M |
Recent enforcement in NM
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.