Physician

Dolores A Estrada-Garcia, MD

According to 2025 Medicare claims, Dolores Estrada-Garcia, MD (NPI: 1316950033) practices hematology/oncology in the Decatur, IL market, with the plurality of this provider's patient population coming from Macon, IL. This provider's primary affiliated billing organization is CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. (NPI: 1871580142; TIN: 371160364) and primary practice location at 62526-5858.

Estrada-Garcia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 81 traditional Medicare patients, billed 13,663 HCPCS/CPT codes, and received $109,399 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 33 prescription claims across 22 beneficiaries totaling $3,808 in drug costs. 2016 DME data shows 85 claims. Open Payments data shows 15 records totaling $340. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $579,204 to $3,808. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$772K$1.5M2015 Medicare payment: $1,148,468 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,544,560 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $619,446 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $109,399 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015425120,541$1,148,468
2016398184,614$1,544,560
201726946,981$619,446
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20248113,663$109,399

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$474K$947K2015 Drug cost: $579,204 (USD; Tot_Drug_Cst)2016 Drug cost: $947,139 (USD; Tot_Drug_Cst)2017 Drug cost: $471,810 (USD; Tot_Drug_Cst)2018 Drug cost: $4,631 (USD; Tot_Drug_Cst)2024 Drug cost: $3,808 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152141,830$579,204
20162221,827$947,139
2017146876$471,810
20182139$4,631
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20242233$3,808

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$4.4K$8.9K2015 Medicare payment: $8,853 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,539 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R157$8,853
2016N/R85$2,539
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5793$97
80053Blood test, comprehensive group of blood chemicals6092$10
36415Insertion of needle into vein for collection of blood sample69151$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count56115$8
83615Lactate dehydrogenase (enzyme) level6180$6

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.15$340Janssen Biotech, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Dolores A. Estrada-Garcia, MD?

Tedicare shows public-source Medicare data for Dolores A. Estrada-Garcia, MD (NPI 1316950033), 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 Dolores A. Estrada-Garcia, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Dolores A. Estrada-Garcia, MD?

Dolores A. Estrada-Garcia, MD is linked to CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS, S.C. (billing NPI 1871580142) in the available physician profile data.

Does Dolores A. Estrada-Garcia, MD have Open Payments data?

Dolores A. Estrada-Garcia, MD has 15 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.