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    OpenPayerNPI Medicare & MedicaidGustavo Garcia
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    Gustavo Garcia — Billing Profile & Reimbursement Data

    NPI 1316380959 · Las Vegas, NV · Orthopaedic Foot and Ankle Surgery Physician

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    Gustavo Garcia is a orthopaedic foot and ankle surgery physician provider located in Las Vegas, Nevada. 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
    OrganizationGustavo Garcia
    Address2800 E Desert Inn Rd Ste 100
    CityLas Vegas
    StateNV
    ZIP89121
    TaxonomyOrthopaedic Foot and Ankle Surgery Physician
    NPI EnumeratedApril 13, 2013

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

    Payer SourceTotal Paid
    Medicare$161.2K
    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
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,170$30$29.2K
    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…250$80$20.6K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…10$1,280$16.6K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…490$20$11.3K
    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…90$120$11.1K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.270$30$8.5K
    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…80$90$7.5K
    97124Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…320$20$7.4K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…70$100$6.8K
    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…100$70$6.5K

    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
    27447789030$1,490$71.5K
    992141,9553,610110$80$19K
    97110164680460$20$16.1K
    97530318520370$20$15.1K
    97112312480310$20$10.3K
    992136593,50080$60$10K
    97124410270$20$8.9K
    97140190560300$20$8.1K
    737218810040$120$7.1K
    73221789040$120$6.7K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John BursellAKPhysical Medicine & Rehabilitation Physician$337.2K$0
    Juneau Bone & Joint Center, LLC.AKOrthopaedic Surgery Physician$0$239.1K
    Adam EllisonAKOrthopaedic Surgery Physician$153.7K$0
    Marco WenWAPhysical Medicine & Rehabilitation Physician$17.2K$0
    Stephanie KohlhaseAKOccupational Therapist$15.2K$0
    Charles HightowerAKOrthopaedic Surgery Physician$14.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clark County School DistrictNVLocal Education Agency (LEA)$0$49.6M
    Bridge Counseling Associates, IncNVCommunity/Behavioral Health Agency$0$14M
    Absolute Home Care Inc.NVIn Home Supportive Care Agency$0$12.8M
    Wwb IncorporatedNVIn Home Supportive Care Agency$0$9.2M
    Always For You Home Care Services LLCNVIn Home Supportive Care Agency$0$8.2M
    Creek View Home Health LLCNVHome Health Agency$0$5.2M
    Pacifica Healthcare Providers LLCNVGeneral Practice Physician$0$4.6M
    Aarti Home CareNVHome Health Agency$0$4.2M
    Behavioral Services Of Nevada, LLCNVCommunity/Behavioral Health Agency$0$4.2M
    Mind Relief LLCNVMental Health Counselor$0$4M

    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. Nevada Distribution
    Gustavo Garcia — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada