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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMaria Carmina Garcia
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    Maria Carmina Garcia — Billing Profile & Reimbursement Data

    NPI 1649201997 · Johnson City, TN · Pulmonary Disease Physician

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    Maria Carmina Garcia is a pulmonary disease physician provider located in Johnson City, Tennessee. 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
    OrganizationMaria Carmina Garcia
    Address310 N State Of Franklin Rd Ste 303
    CityJohnson City
    StateTN
    ZIP37604
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedJuly 5, 2006

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

    Payer SourceTotal Paid
    Medicare$113.6K
    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…460$90$41.5K
    99233The 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…150$90$13.7K
    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$12.1K
    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…170$60$10.1K
    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…80$130$9.8K
    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…50$120$5.7K
    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…60$60$3.8K
    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…20$140$3K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…130$20$2.9K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.140$20$2.9K

    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
    992141,46711,370120$80$16.6K
    992338182,63090$90$13.1K
    992321,3033,990100$60$11.4K
    992157352,71040$110$8.3K
    992235923,13040$120$8K
    992136,33211,03080$50$8K
    992042,0115,49030$100$5.3K
    992057431,30020$140$4.9K
    9944310812030$70$3.8K
    364152,9683,310120$10$3.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellmont Medical Associates IncTNPulmonary Disease Physician$0$27.8M
    Wellmont Medical Associates IncVAFamily Medicine Physician$0$24.6M
    State Of Franklin Healthcare Associates PLLCTNInternal Medicine Physician$0$23.2M
    Takoma Regional Hospital IncTNGeneral Acute Care Hospital$0$20.1M
    Blue Ridge Medical Management CorporationTNFamily Nurse Practitioner$0$8M
    Wellmont Cardiology ServicesTNCardiovascular Disease Physician$0$3.1M
    Blue Ridge Medical Management CorporationTNPediatrics Physician$0$2.9M
    Blue Ridge Medical Management CorporationTNInternal Medicine Physician$0$2.8M
    Blue Ridge Medical Managgement CorporationTNInternal Medicine Physician$0$2.2M
    Sos NalghranyanFLHematology & Oncology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cura Partners, LLCTNIn Home Supportive Care Agency$0$49.3M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$31.3M
    Medical Education Assistance CorporationTNInternal Medicine Physician$0$31.1M
    Tri-cities Regional Emergency Physicians, PCTNEmergency Medicine Physician$0$24.7M
    Catalyst Health Solutions,llcTNSubstance Use Disorder Rehabilitation Clinic/Center$0$18.7M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$8.1M
    Juhn And Stark LLCTNPediatric Dentistry$0$8.1M
    First Tennessee Human Resource AgencyTNNon-emergency Medical Transport (VAN)$0$4.7M
    Mountain Empire Radiology Inc PCTNDiagnostic Radiology Physician$0$4.5M
    Tri-city Pediactric Cardiology P CTNPediatric Cardiology Physician$0$4.5M

    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. Tennessee Distribution
    Maria Carmina Garcia — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee