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

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

Katherine Garcia (NPI 1366024333)

Field	Value
Entity Type	Individual
Organization	Katherine Garcia
Address	20455 Lorain Rd Ste 301
City	Fairview Park
State	OH
ZIP	44126
Taxonomy	Nurse Practitioner
NPI Enumerated	April 28, 2021

Payer Source	Total Paid
Medicare	$10.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	110	$40	$4.2K
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…	30	$60	$2K
46600	The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…	60	$20	$1.5K
99203	The 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…	30	$50	$1.2K
99204	The provider sees a new 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 provider…	10	$90	$1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$20	$300

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Katherine Garcia — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15,738	20,010	100	$70	$11.7K
99213	7,188	20,000	70	$50	$6.6K
99204	7,614	8,330	30	$100	$4.4K
99203	3,406	6,380	30	$60	$2.9K
46600	9	60	30	$60	$2.1K
99212	3,293	4,100	30	$30	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cleveland Eye And Laser Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$2.7M	$4.4K
Alexander Kosmidis	OH	Ophthalmology Physician	$322.4K	$0
Theodore Loizos	OH	Ophthalmology Physician	$284.5K	$0
Carla Krebs	OH	Ophthalmology Physician	$209.5K	$0
Stanley Luksenburg	OH	Podiatrist	$47.3K	$73.4K
John Ellis	OH	Podiatrist	$101.3K	$10.7K
Tamouh Hamoud	OH	Clinical Cardiac Electrophysiology Physician	$103.6K	$0
Emad Nukta	OH	Interventional Cardiology Physician	$99K	$0
Jane Hoashi	OH	Orthopaedic Surgery Physician	$65.3K	$0
Roy Miler	OH	Vascular Surgery Physician	$44.6K	$0

Katherine Garcia — Billing Profile & Reimbursement Data

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Katherine 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

Nearby Providers

Frequently Asked Questions

References