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 & MedicaidGerald Garcia
    Ask Trek AI about this page

    Gerald Garcia — Billing Profile & Reimbursement Data

    NPI 1902177819 · Paterson, NJ · Anesthesiology Physician

    Customize your policy alerts

    Sign up for Gerald 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.

    Gerald Garcia is a anesthesiology physician provider located in Paterson, New Jersey. This profile covers 11 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
    OrganizationGerald Garcia
    Address703 Main St
    CityPaterson
    StateNJ
    ZIP07503
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJanuary 24, 2012

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

    Payer SourceTotal Paid
    Medicare$34.3K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01992The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…90$90$8.3K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…50$110$5.7K
    01112The provider performs anesthesia services for a patient undergoing the procedure of either bone marrow aspiration or biopsy or both. The procedure site is the anterior or posterior iliac crest.40$100$4.1K
    00812The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…30$110$3K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…20$110$2.5K
    01938The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.30$70$2.5K
    01940The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…30$70$2.1K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…20$90$2.1K
    00532The provider performs anesthesia services for the procedure of accessing central venous circulation, which refers to the major veins draining blood into the heart. Another provider may use this…20$90$1.8K
    00160The provider performs anesthesia services for a patient undergoing procedures on the nose and accessory sinuses, hollow chambers in the skull that open into the nasal cavity. Use this code when there…10$120$1.3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    01992139030$100$4.6K
    0081143781020$90$4K
    0081219946020$90$3.5K
    007311561,05020$90$3.2K
    0081317645020$100$3K
    0111211030$100$2.8K
    019383812030$60$2.3K
    0194084020$80$1.7K
    0016041020$100$1.6K
    0053221010$100$1.5K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ross ThormahlenTXAnesthesiology Physician$77.3K$0
    Joseph TorresNVAnesthesiology Physician$66K$0
    Sharon BeaverTXCertified Registered Nurse Anesthetist$57.9K$0
    John ArnoldTXAnesthesiology Physician$55.8K$0
    Jennifer BernardTXAnesthesiology Physician$54.4K$0
    Daniel DreherTXAnesthesiology Physician$54.4K$0
    Joshua KollarsTXAnesthesiology Physician$49.1K$0
    Mary Ellen ThurmanTXAnesthesiology Physician$21.8K$22.9K
    Stephanie ShieldsTXCertified Registered Nurse Anesthetist$42.7K$0
    Vikrum SureshTXAnesthesiology Physician$34.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Josephs University Medical Center Inc.NJGeneral Acute Care Hospital$0$322.3M
    St. Joseph's Healthcare, Inc.NJInternal Medicine Physician$0$31.7M
    St. Joseph's Emergency Physicians IncNJEmergency Medical Services (Emergency Medicine) Physician$0$24.2M
    Fayrouz Pediatric LLCNJPediatrics Physician$0$13.3M
    St. Josephs Hospital And Medical CenterNJMental Illness Community Based Residential Treatment Facility$0$13.2M
    Simeon Dialysis LLCNJEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$12.9M
    St Josephs Medical Group PCNJInternal Medicine Physician$0$10.1M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Ellsworth WrightNJEmergency Medicine Physician$247.3K$0
    Orestes SanchezNJDiagnostic Radiology Physician$225.5K$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 Jersey Distribution
    Gerald Garcia — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey