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

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

John Garcia (NPI 1417950460)

Field	Value
Entity Type	Individual
Organization	John Garcia
Address	4801 Beckner Rd Ste 1700
City	Santa Fe
State	NM
ZIP	87507
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	May 23, 2005

Payer Source	Total Paid
Medicare	$262.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	100	$1,020	$98.6K
27447	In 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…	80	$1,020	$80.2K
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…	510	$50	$23.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	180	$100	$18.2K
20610	In 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…	340	$40	$13.1K
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…	150	$70	$9.5K
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…	80	$90	$7K
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…	90	$60	$5.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	40	$120	$4.3K
20985	A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…	10	$120	$1.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

John Garcia — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	4	70	40	$1,270	$52.1K
27130	1	40	20	$900	$28.9K
99214	942	2,700	90	$70	$12.9K
99215	80	960	40	$110	$7.8K
99213	121	2,440	60	$50	$7.3K
20610	13	210	50	$50	$4.9K
99204	193	1,210	30	$100	$4.5K
99205	81	340	20	$140	$4.3K
20985	6	10	30	$110	$3.9K
99203	144	870	30	$60	$3.3K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	General Acute Care Hospital	$0	$345.3M
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Centra Medical Group, LLC	VA	Family Medicine Physician	$0	$60.1M
Presbyterian Healthcare Services	NM	Rural Acute Care Hospital	$0	$47.6M
St Vincent Hospital	NM	General Acute Care Hospital	$0	$46.5M
Presbyterian Healthcare Services	NM	Rural Acute Care Hospital	$0	$40.9M
Presbyterian Healthcare Services	NM	Critical Access Hospital	$0	$33.1M
Presbyterian Healthcare Services	NM	General Acute Care Hospital	$0	$21.6M
Presbyterian Healthcare Services	NM	Critical Access Hospital	$0	$20.6M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Santa Fe Recovery Center Inc	NM	Substance Abuse Rehabilitation Facility	$0	$22M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$16.4M
Los Amigos, LLC	NM	Case Management Agency	$0	$12.9M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$11.5M
Teambuilders Behavioral Health, LLC	NM	Community/Behavioral Health Agency	$0	$9.5M
Aspen Medical Group LLC	NM	Urgent Care Clinic/Center	$0	$6.4M
New Vistas	NM	Developmentally Disabled Services Day Training Agency	$0	$6.3M
La Familia Medical Center	NM	Federally Qualified Health Center (FQHC)	$0	$4.7M
St. Vincent Hospital	NM	Pediatrics Physician	$0	$4.7M
Hbj Therapy Services, LLC	NM	Occupational Therapy Assistant	$0	$3.2M

John Garcia — Billing Profile & Reimbursement Data

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John 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

Related Providers

Nearby Providers

Frequently Asked Questions

References