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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrancisco Garcia-moreno
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    Francisco Garcia-moreno — Billing Profile & Reimbursement Data

    NPI 1144223264 · Lake Success, NY · Hematology & Oncology Physician

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    Francisco Garcia-moreno is a hematology & oncology physician provider located in Lake Success, New York. This profile covers 34 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFrancisco Garcia-moreno
    Address410 Lakeville Rd
    CityLake Success
    StateNY
    ZIP11042
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedMay 23, 2005

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

    Payer SourceTotal Paid
    Medicare$344.6K
    Medicaid$1

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…610$110$67.2K
    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…860$80$66.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…280$160$43.5K
    J0885Injection, epoetin alfa, (for non-esrd use), 1000 units2,520$10$15.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,750$10$14K
    96413Chemotherapy 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…100$130$12.6K
    85025A 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…1,440$10$11.5K
    80053The 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.1,120$10$11.2K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$190$11.2K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.160$60$9.8K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J088527502,530$10$26.1K
    992142,05930,45090$100$19K
    96413209380110$110$18.1K
    9921391831,44080$70$12.1K
    992153488,28040$140$10.1K
    Q013845020,910$1$10K
    844431,3431,51090$20$7.9K
    9636514961080$60$7.7K
    80053761,970120$10$6.9K
    9920411,51414,17030$130$6.6K

    Showing 1–10 of 34

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.30$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4,2925,090450$10$35.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Optum Medical Care, P.C.NYCardiovascular Disease Physician$0$105.1M
    Prohealth Care Associates LLPNYInternal Medicine Physician$0$69.4M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Long Island Digestive Endoscopy Center, LLCNYAmbulatory Surgical Clinic/Center$1.6M$1.4M
    Matthew PomykalaNYOphthalmology Physician$1.7M$1M
    Howard CharlesNYOphthalmology Physician$2.7M$13.9K
    Changping JiaNYNuclear Imaging & Therapy Physician$2.2M$58.7K
    Eric FitzNYOphthalmology Physician$2.2M$1.3K
    Gad AvshalomovNYAllergy & Immunology Physician$1.6M$452.4K
    Michael VitaleNYVascular & Interventional Radiology Physician$995.6K$907.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Freedom Care LLCNYHome Health Agency$0$3B
    Northwell Health LaboratoriesNYClinical Medical Laboratory$48.5M$198.2M
    Optum Medical Care Of New Jersey PCNYPediatrics Physician$0$219.4M
    North Shore University HospitalNYCase Management Agency$0$166.6M
    Personal Touch Home Care Of New York, Inc.NYEarly Intervention Provider Agency$0$19.3M
    Nhpe, LLCNYAmbulatory Surgical Clinic/Center$831.7K$3M
    Stuart WeinermanNYEndocrinology, Diabetes & Metabolism Physician$2.3M$2.3K
    Jason KarpNYPulmonary Disease Physician$2.1M$35.2K
    Vishesh AgrawalNYRadiation Oncology Physician$2.1M$13K
    Richard FurieNYRheumatology Physician$2.1M$19.5K

    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. New York Distribution
    Francisco Garcia-moreno — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Francisco Garcia-moreno — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York