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    OpenPayerNPI Medicare & MedicaidCarlos Garcia
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    Carlos Garcia — Billing Profile & Reimbursement Data

    NPI 1013985217 · Oklahoma City, OK · MOHS-Micrographic Surgery Physician

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    Carlos Garcia is a mohs-micrographic surgery physician provider located in Oklahoma City, Oklahoma. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarlos Garcia
    Address4805 S Western Ave
    CityOklahoma City
    StateOK
    ZIP73109
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedMarch 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$269.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)200$300$59.5K
    17311Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…110$440$50.1K
    96573The provider applies a photosensitizing drug to a lesion and exposes it to a specific wavelength of light, depending on how far into the body the light needs to penetrate. The procedure is performed…200$150$29.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…440$60$26.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…190$80$15.9K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…190$70$13.9K
    17312Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.50$290$13.3K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.60$190$10.8K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.260$40$9.9K
    10040The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.80$80$6.3K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173112220310$400$149.2K
    173122320200$290$62.2K
    992142,2235,560130$70$18.4K
    J730812040$300$16K
    1711076180150$70$14.1K
    9657311060$140$11.7K
    11102120150190$50$11.4K
    1700093230140$30$9.9K
    992134375,45080$50$8.7K
    12032197030$180$8.3K

    Showing 1–10 of 25

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carlos Garcia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cagr Medical, PLLCOKProcedural Dermatology Physician$0$2.5M

    Nearby Providers

    Other providers in the same ZIP code as Carlos Garcia, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Variety Care, Inc.OKFederally Qualified Health Center (FQHC)$0$57M
    Positive Changes LLCOKPsychiatric Hospital$0$44.3M
    Integris South Oklahoma City Hospital CorporationOKGeneral Acute Care Hospital$0$38.7M
    Osu-center For Health SciencesOKMedical Specialty Clinic/Center$0$16.3M
    Okc DentalOKGeneral Practice Dentistry$0$7.1M
    Providence Family Practice, PLLCOKFamily Nurse Practitioner$0$3.7M
    Variety Care, Inc.OKFederally Qualified Health Center (FQHC)$0$3.2M
    Total Care Behavioral Health Services, LLCOKMental Health Clinic/Center (Including Community Mental Health Center)$0$2.4M
    Hands To Guide You IncOKCommunity/Behavioral Health Agency$0$2.2M
    Christiana WilliamsOKNurse Practitioner$1.8K$2.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oklahoma Distribution
    Carlos Garcia — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma