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Michael Garcia, MD

Psychiatry · Campbell

NPI 1891314464

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Garcia’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A176743 · Current

Licensed to practise in California · since 2022 · expires 2028-05-31 · University of California, Riverside School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$165,262

Medicare paid this office $165,262 for 889 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit387$65,554$169
Advance care planning, first 30 minutes764$57,513$75
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150$20,042$134
Annual depression screening, 5 to 15 minutes416$8,237$20
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve125$7,981$64
See all 7 services
Every Original Medicare service billed
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit387$65,554$169
Advance care planning, first 30 minutes764$57,513$75
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150$20,042$134
Annual depression screening, 5 to 15 minutes416$8,237$20
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve125$7,981$64
Annual alcohol misuse screening, 5 to 15 minutes208$4,118$20
Telephone medical discussion with physician, 5-10 minutes21$977$47

Who their Medicare patients are

889 Original Medicare patients in 2024. Average age 73 · Under 65 10% · 85 and older 3% · Women 70% · Also on Medicaid 35% · Health risk score 1.60. Above the middle of the specialty; the typical psychiatry clinician is at 1.35.

Conditions among them: High blood pressure 75% · Diabetes 43% · Depression 38% · Chronic kidney disease 29% · Coronary heart disease 28% · COPD 25% · Heart failure 22% · Cancer 17% · Atrial fibrillation 16% · Dementia 13% · Stroke 12%.

The office billed $290,485, Medicare allowed $171,894 and paid $165,262; for 2,079 services of 8 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Drugs they prescribed that Part D paid

$20,571

Pharmacies billed $20,571 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 108) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

95 generic and 13 brand-name prescriptions · $20,571 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Buprenorphine-Naloxone20$10,396$168

Year by year

Part D prescribing by year
2024108360% (0)12%$20,571
2023328880% (0)None$87,871
202244None0% (0)None$2,246

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Ozempic37$36,777$994
Buprenorphine-Naloxone104$19,182$184
Suboxone17$7,214$424
Buprenorphine16$440$27
Mirtazapine20$292$15
Sertraline16$287$18
Quetiapine12$197$16

Money from drug and device companies

$33 in 2022

A payment is not proof that care is biased.

Payments by company
Boston ScientificGeneral - Pain Management$33
2 payments
  • Meals for General - Pain Management · 2022-02-16 · $16
  • Meals for General - Pain Management · 2022-02-03 · $17
See all 2 published payments
Every published payment
Boston ScientificMeals · 2022-02-16General - Pain Management$16
Boston ScientificMeals · 2022-02-03General - Pain Management$17

Professional record

NPI
1891314464
Licence
CA A176743California A176743: Current · expires 2028-05-31
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X); General practice (208D00000X)
Mailing address
14350 Meridian Pkwy # 2, Riverside, CA, 92518
NPI first listed
2020-04-13
NPI last updated
2023-12-27
NPI record certified
2023-12-27

This is when the NPI record was last certified, not a medical board exam.