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

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

Mark Garcia (NPI 1942260088)

Field	Value
Entity Type	Individual
Organization	Mark Garcia
Address	701 N. Clayton St.
City	Wilmington
State	DE
ZIP	19805
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	March 24, 2006

Payer Source	Total Paid
Medicare	$535.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37227	N/A	20	$9,050	$172K
37229	N/A	20	$6,240	$118.5K
37225	N/A	20	$5,520	$88.3K
37228	N/A	30	$1,870	$46.8K
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…	210	$90	$19.7K
37232	N/A	30	$660	$19.7K
37252	In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…	20	$750	$16.4K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	50	$180	$8.9K
99205	The provider sees a new 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 provider…	40	$170	$6.5K
99204	The provider sees a new 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 provider…	40	$110	$4.7K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Mark Garcia — 3 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37227	1	10	20	$8,160	$155K
37229	1	10	20	$6,280	$94.2K
37225	1	10	20	$5,520	$88.3K
37228	2	10	20	$1,800	$32.3K
99214	743	1,830	150	$80	$25.5K
37232	1	10	30	$660	$19.7K
37252	2	10	20	$580	$19.6K
99213	1,646	1,810	120	$60	$13.6K
99215	450	570	40	$120	$11K
99204	418	950	30	$110	$6.5K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gene Myers	DE	Cardiovascular Disease Physician	$650.7K	$0
Ramon Rosa	DE	Cardiovascular Disease Physician	$556.1K	$0
Ajith Kumar	DE	Cardiovascular Disease Physician	$549.4K	$0
Carlos Neves	DE	Vascular Surgery Physician	$389.4K	$0
Kevin Caldwell	DE	Vascular Surgery Physician	$212.8K	$0
Sean Ryan	DE	Vascular Surgery Physician	$192.3K	$0
Edel Mendoza	DE	Vascular & Interventional Radiology Physician	$105.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	DE	Home Health Agency	$0	$56.8M
St. Francis Hospital Inc.	DE	General Acute Care Hospital	$0	$43.2M
Always Best Care Of Delaware	DE	Home Health Agency	$0	$38.1M
State Of Delaware Dscyf	DE	Adolescent and Children Mental Health Clinic/Center	$0	$36.5M
Westside Family Healthcare, Inc.	DE	Federally Qualified Health Center (FQHC)	$0	$34.3M
Brandywine Counseling & Community Services, Inc.	DE	Adult Mental Health Clinic/Center	$170.8K	$23.9M
Connections Community Support Programs, Inc.	DE	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.4M
St Anthony's Community Center Inc	DE	Meals Provider	$0	$4.6M
Emergency Physician Associates Of Delaware PC	DE	Emergency Medicine Physician	$0	$4.2M
Horizon House Delaware Inc	DE	Case Management Agency	$0	$3.8M

Mark Garcia — Billing Profile & Reimbursement Data

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Mark 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