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

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

George Garcia (NPI 1548266315)

Field	Value
Entity Type	Individual
Organization	George Garcia
Address	2985 Cortez Ave
City	Idaho Falls
State	ID
ZIP	83404
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicare	$332.3K
Medicaid	$0

Key Findings

Provider GEORGE GARCIA is a long-tenured cardiovascular disease physician (NPI enumerated 2005-06-24, ~21 years ago) with $332.3K in lifetime Medicare revenue and no Medicaid billing on file; the absence of any Medicaid claims makes this an effectively single‑payer (Medicare-focused) billing profile.

Revenue is highly concentrated: the precomputed top three Medicare codes (99214, 93306, 99223) account for 80.1% of this provider’s total Medicare revenue, driven primarily by 99214 at $195.1K (58.6%), followed by 93306 at $53.2K (16.0%) and 99223 at $18.4K (5.5%).

The code mix points to an ambulatory cardiology practice with significant diagnostic and inpatient consult components: 99214 dominance signals heavy office-based E/M volume, 93306 indicates substantial echocardiography (professional/technical) activity, and 99223 shows continued involvement in initial hospital inpatient/observation care.

Competitive standing is extreme for office visits and above typical for imaging: 99214 ranks #852 of 479517 providers nationally (100th percentile; extreme outlier), signaling unusually high national office-visit volume for this clinician, while 93306 ranks #1619 of 24624 providers nationally (93th percentile; notably above typical national volume), indicating a strong position in echocardiography relative to peers.

Other cardiac diagnostics and monitoring appear as modest revenue contributors: 93229 ($14.5K, 4.4%) and 93000 ($5.9K, 1.8%) show that wearable ECG monitoring and standard ECG interpretation are part of the service mix but do not rival office visits or echo in revenue share; the percentile descriptors for these codes (e.g., 93229 at the 33th percentile) reflect typical or modest participation nationally.

From a payer-strategy perspective, the combination of $332.3K Medicare revenue and no Medicaid activity suggests limited direct Medicaid engagement or billing under alternative arrangements; this concentration implies that changes in Medicare reimbursement or referral patterns would have outsized impact on the practice.

Operational risk and opportunity: reliance on a single code (99214 at 58.6% of Medicare revenue) concentrates revenue in established-patient office visits, which is efficient for clinic throughput but increases exposure to shifts in E/M policy, coding edits, or local referral volume; the significant echo volume (93306 at 16.0%) provides diversification into high-value diagnostic services.

Several less‑prominent codes (for example, 99204 at $11.8K and 99232 at $11.6K) indicate additional new patient and inpatient follow-up activity, but their revenues are small relative to the top two drivers; overall, the profile reads as a high-volume outpatient cardiology practice with targeted inpatient and diagnostic services supporting the ambulatory business line.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,240	$90	$195.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	670	$80	$53.2K
99223	The 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…	140	$130	$18.4K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	20	$630	$14.5K
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…	100	$120	$11.8K
99232	The 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…	190	$60	$11.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$90	$6.7K
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…	590	$10	$5.9K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	30	$130	$3.8K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	30	$140	$3.6K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

George Garcia — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93229	1	10	20	$630	$14.5K
93306	6	90	190	$60	$14.2K
99214	1	2,690	90	$70	$10.4K
99233	182	400	60	$90	$9.4K
99232	122	680	60	$60	$7.3K
99223	36	500	30	$120	$6.6K
99213	2,381	2,770	70	$50	$5.7K
99204	101	1,180	30	$100	$4.2K
78431	1	10	40	$70	$2.6K
93923	9	10	40	$50	$2.4K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fadi Atassi	AZ	Interventional Cardiology Physician	$2.5M	$15.4K
Idaho Heart Institute PC	ID	Specialist	$0	$498K
Anthony Pozun	AZ	Interventional Cardiology Physician	$461K	$0
Paul Bejarano	AZ	Cardiovascular Disease Physician	$446.4K	$0
Alexandre Benjo	AZ	Interventional Cardiology Physician	$352.6K	$0
William Thomas	AZ	Interventional Cardiology Physician	$268.9K	$0
John Chambers	ID	Cardiovascular Disease Physician	$239K	$0
Patrick Gorman	ID	Cardiovascular Disease Physician	$236.3K	$0
Pawel Doloto	CO	Cardiovascular Disease Physician	$193.9K	$0
Katie Ryder	FL	Cardiovascular Disease Physician	$189.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Hospital LLC	ID	General Acute Care Hospital	$0	$45.7M
Eastern Idaho Health Services Inc	ID	General Acute Care Hospital	$0	$12.1M
Rm Lab LLC	ID	Clinical Medical Laboratory	$1.1M	$8.2M
Medical Center For Children & Adolescents, PA	ID	Pediatrics Physician	$0	$8.8M
Aaa American Healthcare LLC	ID	Mental Health Counselor	$0	$8.7M
Intermountain Emergency Physicians	ID	Emergency Medicine Physician	$0	$6.6M
24-7 Professional Solutions	ID	In Home Supportive Care Agency	$0	$5.9M
Just 4 Kids Health LLC	ID	Urgent Care Clinic/Center	$0	$5.2M
Foothills Rehabilitation & Performance Services, PLLC	ID	Physical Therapist	$0	$5M
Innovative Health Care Concepts, Inc	ID	Developmental Disabilities Clinic/Center	$0	$4.8M

George Garcia — Billing Profile & Reimbursement Data

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George Garcia — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References