Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidLovegildo Garcia
    Ask Trek AI about this page

    Lovegildo Garcia — Billing Profile & Reimbursement Data

    NPI 1518912807 · Elizabethtown, KY · Neurology Physician

    Customize your policy alerts

    Sign up for Lovegildo Garcia — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Lovegildo Garcia is a neurology physician provider located in Elizabethtown, Kentucky. This profile covers 7 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLovegildo Garcia
    Address1237 Woodland Dr
    CityElizabethtown
    StateKY
    ZIP42701
    TaxonomyNeurology Physician
    NPI EnumeratedMay 24, 2006

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

    Payer SourceTotal Paid
    Medicare$66.7K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…170$80$14.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…100$130$12.8K
    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…230$60$12.7K
    95819Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…270$40$10.9K
    99205The 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…70$140$9.2K
    99215The 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…40$110$4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$60$3.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,5297,230110$70$14.1K
    992321,9042,860100$60$11.6K
    992234011,94040$130$8.6K
    992131,3477,25080$50$7.7K
    992156161,44030$110$6.3K
    992054159020$140$4.4K
    9581923030$60$3.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Russell County HospitalKYCritical Access Hospital$0$20.7M
    Dawn WoodroofKYDiagnostic Radiology Physician$395.2K$0
    Scott BabinKYDiagnostic Radiology Physician$202.8K$0
    Sean LadsonKYDiagnostic Radiology Physician$198.6K$0
    Natarajan ThannoliKYCardiovascular Disease Physician$127.8K$0
    Mateen AhmedKYPulmonary Disease Physician$121.1K$0
    Klark TurpenKYSleep Medicine (Internal Medicine) Physician$61.8K$0
    Bradley HummKYCertified Registered Nurse Anesthetist$25.2K$0
    Courtney MinorKYSleep Medicine (Internal Medicine) Physician$24.1K$0
    Guy LernerKYAddiction Medicine (Anesthesiology) Physician$20.2K$380

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Communicare IncKYCommunity/Behavioral Health Agency$0$205.5M
    Baptist Healthcare System IncKYGeneral Acute Care Hospital$0$95.7M
    Stepworks Recovery Centers LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$67.7M
    Communicare IncKYCommunity/Behavioral Health Agency$0$49.5M
    Hardin Memorial HospitalKYGeneral Acute Care Hospital$0$37.2M
    Pinnacle Treatment Centers Ky-1, LLCKYSubstance Abuse Rehabilitation Facility$0$33.6M
    Lincoln Trail Area Development DistrictKYSupports Brokerage Agency$0$31.4M
    Astra Behavioral Health LLCKYPsychiatry Physician$0$26.1M
    Renest Recovery Support ServicesKYCommunity/Behavioral Health Agency$0$19.9M
    Baptist Health Medical Group IncKYInternal Medicine Physician$0$13.7M

    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. Kentucky Distribution
    Lovegildo Garcia — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky