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

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

Jose Garcia (NPI 1982682779)

Field	Value
Entity Type	Individual
Organization	Jose Garcia
Address	3417 Tamiami Trl Ste G
City	Port Charlotte
State	FL
ZIP	33952
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicare	$194.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	430	$60	$24.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	$130	$20K
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	$80	$16.1K
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…	160	$100	$15.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	320	$50	$15.1K
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…	110	$130	$14.9K
11403	The provider excises a noncancerous lesion, excluding a skin tag, of 2.1 to 3.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.	110	$120	$13.8K
17283	The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…	70	$160	$11.6K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	60	$190	$10.5K
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…	70	$140	$9.5K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Jose Garcia — 1 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	1,443	2,220	190	$100	$25.2K
99214	12,778	32,760	140	$90	$25K
G0439	1,690	7,210	60	$120	$13.4K
99213	3,698	30,010	80	$60	$12K
96365	182	840	120	$50	$11.7K
99215	1,157	8,550	40	$130	$10.7K
17283	3	20	20	$160	$9.7K
20611	224	620	60	$80	$9K
93880	639	2,030	40	$100	$7.8K
93925	354	1,040	30	$140	$7.6K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leslie Tar	FL	Rheumatology Physician	$3.2M	$0
Daniel Dosoretz	FL	Radiation Oncology Physician	$2.8M	$0
David Rice	FL	Radiation Oncology Physician	$1.5M	$0
Ricardo Martinez	FL	Interventional Cardiology Physician	$1.3M	$0
Sidney Peykar	FL	Clinical Cardiac Electrophysiology Physician	$1.1M	$0
Hiren Patel	FL	Cardiovascular Disease Physician	$984K	$0
Surgery Center Of Port Charlotte Ltd	FL	Ambulatory Surgical Clinic/Center	$929.6K	$11.5K
David Hotchkiss	FL	Cardiovascular Disease Physician	$683.5K	$0
St. Lucy's Outpatient Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$662.3K	$0
Manuel Hernandez	FL	Dermatology Physician	$656K	$0

Jose Garcia — Billing Profile & Reimbursement Data

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Jose 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

Nearby Providers

Frequently Asked Questions

References