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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Frank Garcia (NPI 1326019266)

Field	Value
Entity Type	Individual
Organization	Frank Garcia
Address	62 De Diego Ave.
City	Arecibo
State	PR
ZIP	00612
Taxonomy	General Practice Dentistry
NPI Enumerated	January 30, 2006

Payer Source	Total Paid
Medicaid	$613.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,130	$30	$143.7K
D0330	N/A	3,180	$30	$92.1K
D1999	N/A	5,900	$20	$88.5K
D0120	Periodic oral evaluation - established patient	5,240	$10	$73.3K
D0150	Comprehensive oral evaluation – new or established patient	2,570	$20	$54K
D1208	Topical application of fluoride - excluding varnish	3,380	$10	$47.3K
D1120	Prophylaxis–child	1,890	$20	$34K
D2160	Amalgam - three surfaces, primary or permanent	440	$40	$18.3K
D2140	Amalgam - one surface, primary or permanent	630	$30	$18.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	530	$30	$15.5K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

Frank Garcia — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	46	100	150	$80	$83K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	97	990	1,060	$30	$53.1K
D1999	N/A	99	950	1,350	$10	$35.1K
D0330	N/A	36	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	75	940	880	$10	$24.2K
D0272	N/A	734	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	324	550	210	$40	$20.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	107	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	76	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	56	810	500	$10	$16K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sociedad De Servicios Neonatales De Arecibo	PR	Neonatal-Perinatal Medicine Physician	$0	$14.3M
Laboratorio Clinico Toledo, LLC	PR	Clinical Medical Laboratory	$83.2K	$11.9M
Metro Pavia At Home, LLC	PR	Home Health Agency	$0	$6.6M
Hospicio La Paz Inc	PR	Community Based Hospice Care Agency	$0	$5.7M
Retina Care Psc	PR	Ophthalmology Physician	$0	$4.3M
Integral Therapy Center	PR	Hearing and Speech Clinic/Center	$0	$3.8M
Luis Montalvo	PR	Ophthalmology Physician	$8K	$3.5M
Laboratorio Clinico Villa Los Santos	PR	Clinical Medical Laboratory	$360	$3.1M
Emergency Physician Providers, LLC	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$2.8M
Arraiza Radiology Psc	PR	Diagnostic Radiology Physician	$0	$2.8M

Frank Garcia — Billing Profile & Reimbursement Data

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Frank Garcia — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References