CLAUDIA GARCIA, M.D.
6301 MOUNTAIN VISTA ST STE 205, HENDERSON, NV 89014
NPI Number
1457450017
Practice location · View on Google Maps
Total Medicaid Payments
$2,390,791
+192% vs specialty average
Patients Seen
56,365
Total Claims
65,134
$ Per Patient
$42
Specialty avg: $37
Specialty Rank
#27 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.2
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $424,295 | |
| 2019 | $302,109 | |
| 2020 | $287,569 | |
| 2021 | $313,270 | |
| 2022 | $413,434 | |
| 2023 | $400,713 | |
| 2024 | $249,403 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99214 | Office visit for a moderate problem (established patient) | 7,196 | $587,376 | 24.6% | $82 |
| 99213 | Office visit for a simple problem (established patient) | 6,741 | $400,689 | 16.8% | $59 |
| 99392 | Wellness checkup — ages 1-4 | 3,551 | $331,678 | 13.9% | $93 |
| 99391 | Wellness checkup — infant (under 1 year) | 3,204 | $279,752 | 11.7% | $87 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 6,815 | $267,933 | 11.2% | $39 |
| 99393 | Wellness checkup — ages 5-11 | 2,175 | $195,600 | 8.2% | $90 |
| 99394 | Wellness checkup — ages 12-17 | 1,091 | $102,232 | 4.3% | $94 |
| 90472 | Additional vaccine injection at the same visit | 3,073 | $96,962 | 4.1% | $32 |
| 99212 | Office visit for a minor problem (established patient) | 631 | $22,499 | 0.9% | $36 |
| 92567 | Hearing or speech test or therapy | 2,008 | $21,423 | 0.9% | $11 |
| 87880 | Strep throat test (rapid) | 1,893 | $14,719 | 0.6% | $8 |
| 94760 | Breathing test or lung function test | 6,879 | $13,281 | 0.6% | $2 |
| 87804 | Flu test (rapid) | 708 | $10,820 | 0.5% | $15 |
| 87811 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 396 | $9,116 | 0.4% | $23 |
| 99058 | Special medical service | 454 | $6,961 | 0.3% | $15 |
| 94640 | Breathing test or lung function test | 479 | $5,911 | 0.2% | $12 |
| 87807 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 681 | $4,853 | 0.2% | $7 |
| 99381 | Wellness checkup — new patient, infant (under 1 year) | 48 | $3,957 | 0.2% | $82 |
| 87502 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 151 | $3,601 | 0.2% | $24 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 159 | $3,120 | 0.1% | $20 |
| 85018 | Blood cell or clotting test | 1,926 | $2,551 | 0.1% | $1 |
| 36416 | Finger or heel stick for blood collection | 2,538 | $968 | 0.0% | $0 |
| 94664 | Breathing test or lung function test | 92 | $910 | 0.0% | $10 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 573 | $871 | 0.0% | $2 |
| 90671 | Vaccine or immunization | 322 | $678 | 0.0% | $2 |
| 90651 | HPV vaccine (protects against cancer-causing virus) | 148 | $639 | 0.0% | $4 |
| A7015 | Aerosol mask, used with medical equipment nebulizer | 573 | $567 | 0.0% | $1 |
| 87801 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 26 | $455 | 0.0% | $17 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 73 | $274 | 0.0% | $4 |
| 90700 | Vaccine or immunization | 657 | $93 | 0.0% | $0 |
| 81002 | Urinalysis — quick dipstick test | 51 | $92 | 0.0% | $2 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 12 | $88 | 0.0% | $7 |
| 84030 | Blood chemistry test (checking specific substances in your blood) | 16 | $65 | 0.0% | $4 |
| 99000 | Special medical service | 2,223 | $21 | 0.0% | $0 |
| J7633 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, concentrated form, per 0.25 milligram | 85 | $20 | 0.0% | $0 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 1 mg | 153 | $13 | 0.0% | $0 |
| J7610 | Albuterol, inhalation solution, compounded product, administered through medical equipment, concentrated form, 1 mg | 182 | $3 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 1,745 | $2 | 0.0% | $0 |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | 14 | $0 | 0.0% | $0 |
| 90707 | MMR vaccine (protects against measles, mumps, rubella) | 40 | $0 | 0.0% | $0 |
| 90713 | Polio vaccine | 86 | $0 | 0.0% | $0 |
| 90619 | Vaccine or immunization | 64 | $0 | 0.0% | $0 |
| 97802 | Medical service or procedure | 19 | $0 | 0.0% | $0 |
| 90716 | Chickenpox (varicella) vaccine | 40 | $0 | 0.0% | $0 |
| 90715 | Tdap vaccine (tetanus, diphtheria, and whooping cough booster) | 59 | $0 | 0.0% | $0 |
| 90680 | Vaccine or immunization | 852 | $0 | 0.0% | $0 |
| 90744 | Hepatitis B vaccine (child dose) | 535 | $0 | 0.0% | $0 |
| 90633 | Hepatitis A vaccine (child dose) | 778 | $0 | 0.0% | $0 |
| 90710 | MMRV vaccine (measles, mumps, rubella, and chickenpox) | 78 | $0 | 0.0% | $0 |
| 90685 | Vaccine or immunization | 188 | $0 | 0.0% | $0 |
| 90698 | Vaccine or immunization | 1,129 | $0 | 0.0% | $0 |
| 90648 | Haemophilus influenzae type b (Hib) vaccine (4-dose) | 27 | $0 | 0.0% | $0 |
| 90734 | Meningitis vaccine | 102 | $0 | 0.0% | $0 |
| 90670 | Pneumonia vaccine (PCV13, protects against pneumonia) | 1,395 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.