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

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

Elvin Garcia (NPI 1871547596)

Field	Value
Entity Type	Individual
Organization	Elvin Garcia
Address	811 E Fern Ave Ste 1
City	Mcallen
State	TX
ZIP	78501
Taxonomy	Rheumatology Physician
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Medicare: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9312	Injection, rituximab, 10 mg	7,410	$60	$466.9K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	6,400	$30	$217.6K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	6,520	$30	$169.5K
J3262	Injection, tocilizumab, 1 mg	29,940	$10	$149.7K
J0897	Injection, denosumab, 1 mg	6,540	$20	$117.7K
99215	The 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…	920	$120	$107.4K
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…	1,240	$90	$106.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	710	$100	$67.3K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	410	$60	$23.4K
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	360	$60	$20.6K

Showing 1–10 of 47

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Elvin Garcia — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

47 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	71	100	9,950	$30	$393.1K
J9312	2	20	3,830	$60	$248.5K
J3262	22	40	31,800	$1	$212K
J1745	12	110	2,660	$30	$90.6K
J0897	113	650	2,580	$20	$79.2K
86235	45	70	270	$20	$44K
96413	16	810	150	$100	$19.7K
99214	420	32,500	110	$80	$17.6K
82306	283	1,010	50	$30	$15.8K
86038	22	70	40	$10	$11.1K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Jurca	ID	Family Medicine Physician	$24M	$0
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
April Lopez	TX	Family Nurse Practitioner	$6.7M	$0
Richard Lane	TX	Retina Specialist (Ophthalmology) Physician	$4.8M	$0
Thomas Oei	TX	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Rohit Adyanthaya	VA	Ophthalmology Physician	$4.1M	$0
Ronald Drengler	TX	Medical Oncology Physician	$3.8M	$0
Ricky Alaniz	TX	Optometrist	$77.9K	$3.7M
Jose Martinez	TX	Ophthalmology Physician	$3.8M	$0
Jeremiah Brown	TX	Retina Specialist (Ophthalmology) Physician	$3.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Care Unlimited, Inc	TX	Home Health Agency	$0	$67.8M
Hjc Home Health Care Services, Inc.	TX	Home Health Agency	$0	$36.8M
Legacy Home Care Services, Inc.	TX	Home Health Agency	$0	$30.6M
El Jardin Provider Services, LLC.	TX	Personal Care Attendant	$0	$28M
Easter Seals Rio Grande Valley	TX	Developmental Disabilities Clinic/Center	$0	$25.1M
Iph Primary Home Care, Inc.	TX	Home Health Agency	$0	$23.8M
Cielo Azul Provider Services, LLC.	TX	Personal Care Attendant	$0	$22M
With Open Arms Healthcare, LLC	TX	Home Health Agency	$0	$20.2M
Fuera Investment Group LLC	TX	Personal Care Attendant	$0	$19.4M
Regency Ihs Hospice Services LLC	TX	Community Based Hospice Care Agency	$0	$15.9M

Elvin Garcia — Billing Profile & Reimbursement Data

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Elvin Garcia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References