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 & MedicaidErika Garcia
    Ask Trek AI about this page

    Erika Garcia — Billing Profile & Reimbursement Data

    NPI 1669646006 · Portales, NM · Family Medicine Physician

    Customize your policy alerts

    Sign up for Erika 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.

    Erika Garcia is a family medicine physician provider located in Portales, New Mexico. This profile covers 2 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
    OrganizationErika Garcia
    Address42121 Us Hwy 70
    CityPortales
    StateNM
    ZIP88130
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 16, 2008

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

    Payer SourceTotal Paid
    Medicare$2.5K
    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…60$30$1.6K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…20$40$820

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G017942040$30$1.2K
    G0180184020$40$1.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roosevelt County Special Hospital DistrictNMRural Health Clinic/Center$0$27.7M
    Roosevelt County Special Hospital DistrictNMGeneral Acute Care Hospital$0$13.3M
    Roosevelt County Special Hospital DistrictNMRural Health Clinic/Center$0$3.4M
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Alexander HarvinIADiagnostic Radiology Physician$353.1K$0
    Peter PiampianoTNDiagnostic Radiology Physician$254.4K$20.1K
    Naveen SelvamPADiagnostic Radiology Physician$190.6K$80
    Mohammad HassanNMCardiovascular Disease Physician$181K$0
    Bhaskar SahayNMGeneral Practice Physician$115.9K$0
    Amit SanghiSCDiagnostic Radiology Physician$99.2K$940

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Casa De Buena Salud Inc.NMFederally Qualified Health Center (FQHC)$0$19.4M
    Courageous Outcomes Therapies, LLCNMPhysical Therapist$0$2.3M
    Regional Educational Center #6NMLocal Education Agency (LEA)$0$2.2M
    Mental Health Resources, Inc.NMMental Health Counselor$0$1.8M
    City Of PortalesNMLand Ambulance$235K$1.4M
    Be Well Counseling Services, PCNMCommunity/Behavioral Health Agency$0$1.6M
    Med-trans CorporationNMAir Ambulance$118.1K$274.8K
    Leslie DonaldsonNMInternal Medicine Physician$96K$0
    Joel SieversNMFamily Medicine Physician$60K$0
    Krishna LingalaNMPhysical Medicine & Rehabilitation Physician$41.9K$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. New Mexico Distribution
    Erika Garcia — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico