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

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

William Garner (NPI 1740291517)

Field	Value
Entity Type	Individual
Organization	William Garner
Address	3433 Nw 56th St
City	Oklahoma City
State	OK
ZIP	73112
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	August 10, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider is effectively single‑payer: lifetime Medicare revenue is $1.1M while Medicaid revenue is none, so all billed public payer activity on file is Medicare. That concentration means the practice’s public-reimbursement risk and contracting leverage are tied to Medicare fee schedules and utilization patterns rather than to dual‑payer dynamics.

Revenue concentration is high: the precomputed top three Medicare codes account for 67.3% of the provider’s total Medicare revenue, led by 78492 ($361.5K revenue, 31.9% of this provider's total Medicare revenue), A9555 ($330.7K revenue, 29.2% of this provider's total Medicare revenue), and J2785 ($70.1K revenue, 6.2% of this provider's total Medicare revenue). This level of concentration indicates the practice’s financial performance is heavily dependent on a small set of imaging and stress‑testing services.

The code mix points to a nuclear cardiology and noninvasive stress‑testing operation: 78492 and 78431 are PET myocardial perfusion imaging studies, A9555 and A9500 are radiopharmaceuticals used for PET/SPECT, and J2785 is regadenoson for pharmacologic stress. Together with high claim counts for 93306 (echocardiography) and activity on ECG/stress testing codes (93015, 93018), the pattern indicates a service line centered on cardiac imaging and stress diagnostics rather than high volumes of invasive therapeutic procedures.

Competitive standing for imaging and pharmacologic stress is above typical national volume: 78492 ranks #49 of 926 providers nationally (95th percentile; notably above typical national volume for this code), 78431 ranks #12 of 1377 providers nationally (99th percentile; notably above typical national volume for this code), and J2785 ranks #90 of 6388 providers nationally (99th percentile; notably above typical national volume for this code). These ranks suggest the provider is a major national participant for PET myocardial perfusion and stress agent administration relative to peers.

There are statistical outliers in diagnostic monitoring volume: 93018 (interpretation of exercise stress testing) is listed as an "extreme outlier, far above typical national volume" with rank #17 of 11835 providers nationally (100th percentile). This unusually high interpretation volume, paired with strong imaging activity, reinforces that the clinical workload is heavily weighted to diagnostic testing and test interpretation.

Despite the taxonomy of Interventional Cardiology Physician, billings for invasive coronary procedures are limited: 92928 (percutaneous coronary intervention) accounts for $6.5K revenue (0.6% of Medicare revenue) and 93458 (imaging supervision for coronary angiography) contributes $11.7K revenue (1.0%). The low revenue share and claim counts for these interventional codes indicate the provider’s practice operations are oriented toward noninvasive imaging and stress testing rather than being a high‑volume cath lab operator.

Office visits and noninvasive diagnostics provide supplemental revenue: 99214 ($57.1K revenue, 5.0% of Medicare) and 99213 ($35.6K revenue, 3.1%) are notable E/M contributors, while echocardiography and telemetry codes such as 93306 ($57.8K revenue, 5.1%) and 93015 ($21.2K revenue, 1.9%) represent ongoing outpatient diagnostic work. These patterns imply the provider maintains an outpatient clinic footprint alongside an imaging/testing workflow, supporting longitudinal patient management in addition to high diagnostic throughput.

Operational and contracting implications: with $1.1M concentrated in Medicare and no Medicaid billing on file, this provider is highly exposed to Medicare reimbursement policy and utilization review for cardiac imaging. Payers and network managers should view this entity as a high‑volume national performer in PET myocardial perfusion and pharmacologic stress (top codes and percentiles above), but with limited Medicaid participation and relatively low invasive procedural throughput when assessing referrals, capacity, and payment arrangements.

Medicare: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78492	In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…	330	$1,090	$361.5K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	360	$920	$330.7K
J2785	Injection, regadenoson, 0.1 mg	1,670	$40	$70.1K
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…	500	$120	$57.8K
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…	640	$90	$57.1K
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	670	$60	$41.8K
99213	The 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…	620	$60	$35.6K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	130	$270	$34.2K
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…	190	$120	$23.4K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	460	$50	$21.2K

Showing 1–10 of 35

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

William Garner — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

35 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9555	2	10	460	$900	$410K
78492	2	10	190	$1,010	$224.4K
33285	12	30	20	$960	$24.9K
93229	8	10	30	$580	$24.5K
93306	62	250	320	$60	$22.4K
J2785	2	20	160	$40	$21.6K
99214	544	5,560	130	$70	$18.4K
92928	74	90	30	$400	$14.4K
99232	1,421	1,770	90	$60	$14K
93458	56	140	50	$210	$13K

Showing 1–10 of 35

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integris Cardiovascular Physicians LLC	OK	Cardiovascular Disease Physician	$0	$2.8M
Marcus Smith	OK	Interventional Cardiology Physician	$1.6M	$0
Blake Parsons	OK	Vascular & Interventional Radiology Physician	$932.8K	$0
Jim Melton	OK	Vascular Surgery Physician	$695.2K	$0
Dwayne Schmidt	OK	Interventional Cardiology Physician	$606.5K	$0
John Schrader	OK	Cardiovascular Disease Physician	$397.8K	$0
Monica Lo	OK	Clinical Cardiac Electrophysiology Physician	$396.5K	$0
George Madden	OK	Cardiovascular Disease Physician	$338.3K	$0
Richard Lane	OK	Clinical Cardiac Electrophysiology Physician	$334.1K	$0
John Williams	OK	Interventional Cardiology Physician	$325.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integris Baptist Medical Center Inc	OK	General Acute Care Hospital	$0	$30.7M
Variety Care, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$14.3M
Smiling Faces Pediatric Dentistry Inc	OK	General Practice Dentistry	$0	$14M
Pediatrix Medical Group Of Oklahoma, P.C.	OK	Neonatal-Perinatal Medicine Physician	$0	$11.2M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$9.7M
North Oklahoma County Mental Health Center	OK	Mental Health Counselor	$0	$6.3M
Concepts In Counseling, LLC	OK	Community/Behavioral Health Agency	$0	$5.8M
Oklahoma Emergency Physicians LLC	OK	Emergency Medicine Physician	$0	$5.2M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$4.8M
Your Key To Change, LLC	OK	Community/Behavioral Health Agency	$0	$4.8M

William Garner — 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