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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Michael Garcia (NPI 1083708762)

Field	Value
Entity Type	Individual
Organization	Michael Garcia
Address	3500 Highway 78 E Ste A
City	Jasper
State	AL
ZIP	35501
Taxonomy	Medical Oncology Physician
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicare	$924.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	18,900	$20	$340.2K
Q5127	Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg	480	$270	$130.1K
J1437	Injection, ferric derisomaltose, 10 mg	4,700	$20	$79.9K
99214	The 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…	770	$90	$71.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	550	$90	$50.5K
J1454	Injection, fosnetupitant 235 mg and palonosetron 0.25 mg	140	$350	$49.8K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	13,740	$1	$27.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	1,840	$10	$18.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	1,830	$10	$14.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,700	$10	$13.6K

Showing 1–10 of 63

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Michael Garcia — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

63 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q5127	10	20	590	$270	$165.7K
J0897	8	200	3,120	$20	$97.7K
J1437	7	40	3,000	$20	$59.1K
J1454	4	20	90	$340	$33.7K
J0881	5	30	7,720	$1	$24.1K
96413	14	150	150	$90	$20.2K
99214	337	7,330	120	$80	$16.8K
82306	323	340	60	$30	$16K
88185	20	30	490	$20	$15.4K
80053	26	670	140	$10	$13.1K

Showing 1–10 of 63

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Waples	AL	Medical Oncology Physician	$9.6M	$0
Simon-williamson Clinic, P.C.	AL	Internal Medicine Physician	$0	$3.6M
Marshall Schreeder	AL	Medical Oncology Physician	$3.5M	$0
Heather Brody	AL	Hematology & Oncology Physician	$3.1M	$0
Jorge Diaz	AL	Hematology & Oncology Physician	$2.6M	$0
Naveen Lobo	AL	Medical Oncology Physician	$2.4M	$0
Ali Hachem	AL	Hematology & Oncology Physician	$2.3M	$0
Daniel Schreeder	AL	Hematology & Oncology Physician	$2.3M	$0
Robert Conry	AL	Hematology & Oncology Physician	$2.1M	$0
Lakshmikanth Katragadda	AL	Hematology & Oncology Physician	$2.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional Paramedical Services Inc	AL	Land Ambulance	$6.3M	$15.2M
Jasper Pediatric Dentistry, LLC	AL	Pediatric Dentistry	$0	$6.7M
Bbh Wbmc, LLC	AL	General Acute Care Hospital	$0	$5.9M
After Hours Clinic Inc	AL	Family Medicine Physician	$0	$5.6M
Drs Dabbs & Hyland PC	AL	Rural Health Clinic/Center	$0	$5.2M
The Hyche Center	AL	Pediatric Occupational Therapist	$0	$5.2M
Family Health Associates, P.C.	AL	Family Medicine Physician	$0	$4.5M
Jill Barton Gamotis, Dmd, LLC	AL	Pediatric Dentistry	$0	$1.7M
James Greg Wilbanks	AL	Pediatrics Physician	$0	$1.6M
Walker County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.5M

Michael Garcia — Billing Profile & Reimbursement Data

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Michael 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

Nearby Providers

Frequently Asked Questions

References