Physician

Julia G Garcia, MD

According to 2025 Medicare claims, Julia Garcia, MD (NPI: 1275709768) practices urology in the Michigan City-La Porte, IN market, with the plurality of this provider's patient population coming from La Porte, IN. This provider's primary affiliated billing organization is FRANCISCAN PHYSICIAN NETWORK (NPI: 1225327984; TIN: 611630276) and primary practice location at 46360-0021. Garcia is affiliated with the Franciscan ACO, Inc. (ACO ID: A2550), participating under the MSSP model.

Garcia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 836 traditional Medicare patients, billed 2,928 HCPCS/CPT codes, and received $182,345 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 3,000 prescription claims across 769 beneficiaries totaling $451,361 in drug costs, led by Gemtesa (Vibegron). DME data shows 105 claims. No Open Payments records. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $144,628 to $451,361. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $689 and ending at $1,007.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	809	3,131	$150,665
2016	858	3,280	$165,352
2017	845	3,364	$164,550
2018	811	3,426	$157,494
2019	884	3,630	$173,433
2020	710	2,490	$135,734
2021	777	3,246	$220,601
2022	806	3,069	$203,141
2023	799	2,699	$184,373
2024	836	2,928	$182,345

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	395	2,104	$144,628
2016	449	2,156	$173,280
2017	459	2,131	$175,222
2018	469	2,282	$163,257
2019	543	2,411	$199,917
2020	500	2,256	$210,316
2021	621	2,655	$257,715
2022	605	2,696	$272,998
2023	660	2,668	$362,618
2024	769	3,000	$451,361

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	66	$16,168
2016	12	71	$11,277
2017	N/R	84	$20,746
2018	11	66	$14,959
2019	14	76	$19,547
2020	N/R	80	$20,595
2021	12	86	$36,396
2022	16	115	$60,538
2023	13	129	$58,125
2024	13	105	$54,113

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	128	142	$152
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$105
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	721	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	203	256	$58
81002	Urinalysis, manual test	476	652	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gemtesa	Vibegron	234	14,022	$224,735
Myrbetriq	Mirabegron	136	8,460	$125,834
Elmiron	Pentosan Polysulfate Sodium	14	1,140	$27,208
Testosterone	Testosterone	48	1,920	$11,422
Mirabegron Er	Mirabegron	18	743	$6,806

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	28	$28,570
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	13	66	$25,103
A4356	External urethral clamp or compression device (not to be used for catheter clamp), each	N	N/R	11	$439

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Julia G. Garcia, MD?

Tedicare shows public-source Medicare data for Julia G. Garcia, MD (NPI 1275709768), 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 Julia G. Garcia, MD have ACO affiliation data?

Julia G. Garcia, MD is shown with ACO affiliation data for Franciscan ACO, Inc. (MSSP, ACO ID A2550).

What billing organization is linked to Julia G. Garcia, MD?

Julia G. Garcia, MD is linked to FRANCISCAN PHYSICIAN NETWORK (billing NPI 1225327984) in the available physician profile data.

Does Julia G. Garcia, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.