Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Utah (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Marilla Garcia (NPI 1073888673)

Field	Value
Entity Type	Individual
Organization	Marilla Garcia
Address	617 E Riverside Dr Ste 301
City	St George
State	UT
ZIP	84790
Taxonomy	Clinical Social Worker
NPI Enumerated	March 14, 2012

Payer Source	Total Paid
Medicare	$13.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	120	$70	$7.9K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	80	$70	$5.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Marilla Garcia — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	58	120	120	$90	$12.6K
96130	2	10	20	$80	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Desert Pain Specialists, LLC	UT	Pain Medicine (Anesthesiology) Physician	$0	$1.8M
Spencer Wells	UT	Pain Medicine (Anesthesiology) Physician	$596.1K	$19.1K
Joseph Empey	UT	Pain Medicine (Anesthesiology) Physician	$485.5K	$12.3K
Ryan Workman	UT	Pain Medicine (Anesthesiology) Physician	$443.6K	$25.4K
Bryt Christensen	UT	Interventional Pain Medicine Physician	$463.4K	$2.9K
Nathan Clements	UT	Interventional Pain Medicine Physician	$402.5K	$0
Steven Larsen	UT	Interventional Pain Medicine Physician	$360.8K	$0
Mark Udy	UT	Medical Physician Assistant	$205.2K	$0
Daniel Corry	UT	Medical Physician Assistant	$165.6K	$1.3K
Brian Jorgensen	UT	Medical Physician Assistant	$164.3K	$0

Marilla Garcia — Billing Profile & Reimbursement Data

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Marilla Garcia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References