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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMisael Garcia
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    Misael Garcia — Billing Profile & Reimbursement Data

    NPI 1295224285 · Bettendorf, IA · Surgical Physician Assistant

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    Misael Garcia is a surgical physician assistant provider located in Bettendorf, Iowa. This profile covers 10 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
    OrganizationMisael Garcia
    Address5250 Competition Drive
    CityBettendorf
    StateIA
    ZIP52722
    TaxonomySurgical Physician Assistant
    NPI EnumeratedMay 4, 2018

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

    Payer SourceTotal Paid
    Medicare$9.1K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…50$60$2.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…50$30$1.8K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…20$70$1.5K
    99203The provider sees a new 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 provider…20$60$940
    Q4038Cast supplies, short leg cast, adult (11 years +), fiberglass20$40$650
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.30$20$570
    J1040Injection, methylprednisolone acetate, 80 mg40$10$320
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.20$20$300
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.10$20$290
    Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml110$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992133,3744,740100$50$8K
    2061023352050$40$4.2K
    992031,1921,60030$60$3.2K
    77002519030$60$2.9K
    7356233837050$20$1.5K
    7363023734050$20$1.2K
    Q403861020$40$900
    Q99671091104,340$1$810
    J10406013040$10$800
    7361018623030$10$540

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanjay SundarILPain Medicine (Anesthesiology) Physician$367.8K$11.4K
    Waqas HussainILSports Medicine (Orthopaedic Surgery) Physician$153.3K$142K
    Ryan PokorneyIAAdult Reconstructive Orthopaedic Surgery Physician$227K$0
    Asad HashmiTXPain Medicine (Anesthesiology) Physician$218.4K$0
    Matthew LindamanIAOrthopaedic Surgery Physician$210K$0
    Suleman HussainIASports Medicine (Orthopaedic Surgery) Physician$173.8K$370
    Nathan DurickILDiagnostic Radiology Physician$95.4K$75.3K
    Justin MunnsILOrthopaedic Hand Surgery Physician$73.8K$91.4K
    Myles LuszczykIAOrthopaedic Surgery Physician$159.5K$0
    Joseph MartinIAOrthopaedic Surgery Physician$156.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Choices IncIADevelopmentally Disabled Services Day Training Agency$0$72.6M
    Bettendorf Community School DistrictIALocal Education Agency (LEA)$0$7.4M
    New ChoicesIACommunity/Behavioral Health Agency$0$6.9M
    Trinity Medical CenterIAGeneral Acute Care Hospital$0$5.2M
    Helping Hands Transporting Services,llcIANon-emergency Medical Transport (VAN)$0$3.5M
    Richard YemmIAOphthalmology Physician$2.4M$6.1K
    Gengastro LLCIAAmbulatory Surgical Clinic/Center$1.1M$1M
    Martin O'malleyIAOphthalmology Physician$1.9M$2.7K
    New Choices LLCIAHome Health Agency$0$1.9M
    Genesis Health SystemIAHome Health Agency$0$1.8M

    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. Iowa Distribution
    Misael Garcia — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa