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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Carmen Garmendia (NPI 1417678798)

Field	Value
Entity Type	Individual
Organization	Carmen Garmendia
Address	121 Prospect St
City	Passaic
State	NJ
ZIP	07055
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 6, 2022

Payer Source	Total Paid
Medicare	$9.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	100	$70	$6.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$120	$2.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	$10	$190
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$10	$90
82950	The lab analyst tests a sample, typically blood, for glucose, also known as blood sugar. The collecting provider takes the sample at a set time after the patient has ingested an amount of liquid or a…	20	$10	$90

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Carmen Garmendia — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	6,838	14,090	100	$70	$13.1K
G0439	2,816	3,370	70	$120	$11.5K
93000	3,357	3,440	50	$10	$2.1K
96372	1,189	1,330	60	$10	$1.3K
82950	7	10	60	$1	$340

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salerno Medical Associates, LLC	NJ	Internal Medicine Physician	$0	$22.9M
Robert Solomon	NY	Diagnostic Radiology Physician	$7M	$1.4M
Roel Galope	NJ	Specialist	$1.9M	$0
Fadi El Atat	NJ	Cardiovascular Disease Physician	$288K	$1.1M
David Soto	CA	Vascular & Interventional Radiology Physician	$1.1M	$0
Alexander Salerno	NJ	Internal Medicine Physician	$555.7K	$64.8K
Lydia Shajenko	NJ	Clinical Neurophysiology Physician	$542.2K	$0
Rakesh Sahni	NJ	Cardiovascular Disease Physician	$419.3K	$0
Nawar Al Obaidi	NJ	Internal Medicine Physician	$400.4K	$11K
John Rundback	NJ	Vascular & Interventional Radiology Physician	$339.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accredited Health Services	NJ	Home Health Agency	$0	$87.7M
Prime Healthcare Services - St. Mary's Passaic LLC	NJ	General Acute Care Hospital	$0	$56.2M
Passaic Board Of Education	NJ	Local Education Agency (LEA)	$0	$32.7M
Passaic Pediatrics Ii PA	NJ	Pediatrics Physician	$0	$19.9M
Passaic Pediatrics PA	NJ	Pediatrics Physician	$0	$17.6M
Mer Associates LLC	NJ	Adult Day Care Clinic/Center	$0	$15.7M
2nd Home Passaic Operations, LLC	NJ	Adult Day Care Clinic/Center	$0	$14.5M
Smile Central Passaic P.C.	NJ	General Practice Dentistry	$0	$10.6M
Shah Anuj Md PC	NJ	Interventional Cardiology Physician	$0	$8.8M
Kindcare Pediatric Center LLC	NJ	Pediatrics Physician	$0	$7.6M

Carmen Garmendia — Billing Profile & Reimbursement Data

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Carmen Garmendia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References