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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRuben Garcia
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    Ruben Garcia — Billing Profile & Reimbursement Data

    NPI 1639188501 · Athens, TX · Specialist

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    Ruben Garcia is a specialist provider located in Athens, Texas. This profile covers 18 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRuben Garcia
    Address1701 South Palestine
    CityAthens
    StateTX
    ZIP75751
    TaxonomySpecialist
    NPI EnumeratedAugust 7, 2006

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

    Payer SourceTotal Paid
    Medicare$115.6K
    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.

    18 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…300$90$27.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…120$180$20.6K
    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…270$60$15.8K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$540$13K
    99204The 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…90$120$10.2K
    52214The provider uses a cystoscope passed through the urethra and into the bladder to inspect the structures; he destroys (fulgurates) tissue on the bladder trigone, bladder neck, prostatic fossa,…10$560$7.9K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…20$290$4.9K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.30$90$2.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…60$50$2.8K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.20$140$2.7K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992147,19832,500110$80$17.6K
    994901,2011,520180$40$16.2K
    5221451020$560$15.6K
    52601148020$680$12.3K
    5200010260060$160$12K
    51729456030$280$10.2K
    992134,29329,79070$60$8.4K
    741761,2461,70060$70$6.2K
    992042,49516,38030$110$5.6K
    5179711918030$130$5.1K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Angela SutherlandTXNurse Practitioner$2.3M$0
    C. BranchTXFamily Medicine Physician$695.8K$0
    Anthony DavisTXFamily Medicine Physician$640K$0
    Mark RobbinsTXVascular Surgery Physician$545.6K$0
    David KernsTXVascular Surgery Physician$482.2K$0
    Yazan KhouriTXCardiovascular Disease Physician$468.2K$0
    Nghia TruongTXInternal Medicine Physician$384.3K$0
    Taryn HopeTXPhysician Assistant$332.4K$0
    William ElfarrTXUrology Physician$325K$0
    Tyrone MillerTXSurgery Physician$322K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amy ShuptrineTXNurse Practitioner$3.7M$0
    Steven KoerthTXFamily Medicine Physician$296.5K$0
    William McbrideTXClinical Psychologist$176.4K$0
    James OgburnTXAnatomic Pathology & Clinical Pathology Physician$67.8K$0
    William CarterTXFamily Nurse Practitioner$49.6K$0
    Courtney PerryTXOptometrist$36.3K$0

    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. Texas Distribution
    Ruben Garcia — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas