Physician

Alejandro Garcia, M.D.

According to 2025 Medicare claims, Alejandro Garcia, M.D. (NPI: 1073703153) practices sports medicine in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC (NPI: 1760670145; TIN: 261132759) and primary practice location at 54956-1405. Garcia is affiliated with the Ascension Care Management Health Partners Wisconsin, LLC (ACO ID: A5329), participating under the MSSP model.

Garcia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 157 traditional Medicare patients, billed 7,516 HCPCS/CPT codes, and received $135,515 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 889 prescription claims across 220 beneficiaries totaling $25,446 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). 2019 DME data shows 16 claims. Open Payments data shows 3 records totaling $100. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $59,894 to $135,515. Similarly, Part D prescription costs have risen steadily, from $2,873 to $25,446. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	169	2,262	$59,894
2016	198	2,970	$70,623
2017	220	3,012	$84,567
2018	237	2,661	$99,489
2019	212	4,291	$170,211
2020	188	3,966	$103,982
2021	182	5,405	$146,075
2022	172	5,428	$136,481
2023	172	6,558	$144,978
2024	157	7,516	$135,515

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	92	168	$2,873
2016	103	200	$4,633
2017	102	164	$3,229
2018	75	117	$3,390
2019	120	202	$4,940
2020	168	463	$6,263
2021	181	528	$5,365
2022	175	550	$6,091
2023	210	723	$8,101
2024	220	889	$25,446

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	15	16	$1,293
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	70	116	$120
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	261	$90
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	98	246	$74
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	65	101	$12
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	94	1,017	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone Hcl	Oxycodone Hcl	297	7,582	$3,112
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	207	4,877	$2,746
Acetaminophen-Codeine	Acetaminophen With Codeine	58	1,369	$1,048
Gabapentin	Gabapentin	57	2,764	$994
Diclofenac Sodium	Diclofenac Sodium	15	305	$385

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$100	SPR Therapeutics, Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Alejandro Garcia, M.D.?

Tedicare shows public-source Medicare data for Alejandro Garcia, M.D. (NPI 1073703153), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Alejandro Garcia, M.D. have ACO affiliation data?

Alejandro Garcia, M.D. is shown with ACO affiliation data for Ascension Care Management Health Partners Wisconsin, LLC (MSSP, ACO ID A5329).

What billing organization is linked to Alejandro Garcia, M.D.?

Alejandro Garcia, M.D. is linked to ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC (billing NPI 1760670145) in the available physician profile data.

Does Alejandro Garcia, M.D. have Open Payments data?

Alejandro Garcia, M.D. has 3 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.