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

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

Dante Garcia (NPI 1679634810)

Field	Value
Entity Type	Individual
Organization	Dante Garcia
Address	226 Chalan San Antonio Ste B
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Optometrist
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$223.9K
Medicare	$0

Key Findings

DANTE GARCIA has no Medicare billing on file and is effectively a single-payer Medicaid biller at the present time, with total Medicaid revenue of $223.9K reported. The provider’s NPI was enumerated 2006-12-12 (~20 years ago), indicating long-standing enrollment despite the absence of Medicare activity.

Revenue is highly concentrated in a very narrow set of services: the top three Medicaid codes account for 100.0% of this provider’s Medicaid revenue, driven by V2199 (60.0% of Medicaid revenue), V2201 (22.1% of Medicaid revenue), and 92015 (17.9% of Medicaid revenue). This concentration implies the business is focused almost exclusively on a small number of optical dispensing and refraction services rather than a broader set of clinical procedures.

The code mix is consistent with an optometrist practice that places heavy emphasis on optical goods and routine refractive services: V2199 corresponds to single vision lens dispensing (1.1K claims, $117 avg paid/claim, $134.3K revenue), V2201 to specific bifocal lens dispensing (307 claims, $161 avg paid/claim, $49.4K revenue), and 92015 to refractive assessment/exam work (2K claims, $20 avg paid/claim, $40.1K revenue). This pattern suggests a retail optical component (lens sales/dispensing) supplemented by high-volume refraction exams.

Competitive standing by code is mixed within the state: V2199 ranks #1 of 4 providers in-state and is at the 100th percentile but is described as "typical, unremarkable volume," indicating the provider is the top-biller among a small peer set without an unusually large footprint for that lens code. Being top-ranked among four peers signals local leadership for that specific lens product while not necessarily reflecting exceptional scale relative to expected state activity.

For routine refractive services (92015), the provider ranks #1 of 5 in-state and is labeled "notably above typical state volume," with 2K claims driving $40.1K in revenue at an average paid amount of $20 per claim. That rank and descriptor indicate this practice is an above-typical source of state Medicaid refractions, making it a prominent local provider of eye exams and refraction testing.

V2201 (bifocal sphere code) shows 307 claims and $49.4K revenue at $161 avg paid/claim and is listed as #1 of 1 providers in-state with a note of "0th percentile; no state peer volume comparison available." The absence of comparable state peers for this code suggests the provider may be the sole documented Medicaid biller for this specific bifocal lens type in the dataset, representing a unique niche in the state-level sample.

Operationally, the payment profile highlights different revenue dynamics across services: lens codes (V2199 and V2201) generate larger average payments per claim ($117 and $161 respectively) and constitute the majority of revenue, whereas 92015 drives high claim volume (2K claims) but low average payment ($20). This suggests a business model reliant on higher-margin optical product dispensing to produce the bulk of Medicaid revenue while relying on high-volume, low-payment refraction visits to sustain patient flow and capture dispensing opportunities.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2199	Not otherwise classified, single vision lens	1,150	$120	$134.3K
V2201	Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens	310	$160	$49.4K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	2,010	$20	$40.1K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.

Claims Volume vs. Guam Distribution

Dante Garcia — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2199	Not otherwise classified, single vision lens	1	10	480	$120	$63.3K
V2201	Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens	1	10	310	$160	$49.3K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	1	10	900	$20	$15.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Lee	GU	Dentist	$0	$10.9M
Guam Memorial Hospital	GU	General Acute Care Hospital	$0	$3.5M
Rsa - Tumon, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Robert Yang	GU	Dentist	$0	$2.4M
Antonio Garcia	GU	Pediatrics Physician	$0	$2.2M
Ma Gladys Linsangan	GU	Pediatrics Physician	$0	$2.2M
Ari Katerelos	GU	Radiation Oncology Physician	$2.1M	$0
Guam X-ray	GU	Vascular & Interventional Radiology Physician	$0	$2.1M
Sarah Clegg	GU	General Practice Dentistry	$0	$1.7M
Peter Kh Go	GU	Surgery Physician	$152.8K	$1.5M

Dante Garcia — Billing Profile & Reimbursement Data

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Dante Garcia — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References