Physician

John A Garcia, M.D.

According to 2025 Medicare claims, John Garcia, M.D. (NPI: 1417950460) practices orthopedic surgery in the Santa Fe, NM market, with the plurality of this provider's patient population coming from Santa Fe, NM. This provider's primary affiliated billing organization is NEXUS HEALTH (NPI: 1801516489; TIN: 87-3699084) and primary practice location at 87507-9998.

Garcia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 752 traditional Medicare patients, billed 6,970 HCPCS/CPT codes, and received $270,069 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 51 prescription claims across 45 beneficiaries totaling $1,841 in drug costs. DME data shows 71 claims. Open Payments data shows 9 records totaling $3,007. 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 up and down with repeated peaks and valleys, starting at $217,496 and ending at $270,069. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $18,055 to $1,841. For DME billing, reported payments moved from a higher plateau to a lower plateau, from $6,841 to $5,002.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	525	2,834	$217,496
2016	671	3,608	$296,608
2017	695	3,225	$307,852
2018	725	3,515	$297,646
2019	782	3,410	$372,963
2020	608	2,580	$253,703
2021	866	4,018	$408,606
2022	772	2,032	$278,451
2023	747	1,649	$279,548
2024	752	6,970	$270,069

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	102	319	$18,055
2016	84	178	$5,001
2017	50	70	$834
2018	46	65	$1,283
2019	28	44	$1,567
2020	28	62	$1,582
2021	41	62	$537
2022	128	506	$16,954
2023	63	116	$4,428
2024	45	51	$1,841

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	35	35	$4,410
2016	36	36	$10,280
2017	46	46	$10,940
2018	39	41	$12,150
2019	78	83	$17,987
2020	28	29	$5,758
2021	N/R	N/R	N/R
2022	29	29	$1,660
2023	39	59	$2,833
2024	71	71	$3,384

* / # = 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	143	147	$103
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	125	$68
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$61
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	439	546	$51
20610	Aspiration and/or injection of fluid from large joint	258	333	$45

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

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0143	Walker, folding, wheeled, adjustable or fixed height	N	71	71	$3,384

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$3,007	Zimmer Biomet Holdings, 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 John A. Garcia, M.D.?

Tedicare shows public-source Medicare data for John A. Garcia, M.D. (NPI 1417950460), 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 John A. Garcia, M.D. have ACO affiliation data?

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

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

John A. Garcia, M.D. is linked to NEXUS HEALTH (billing NPI 1801516489) in the available physician profile data.

Does John A. Garcia, M.D. have Open Payments data?

John A. Garcia, M.D. has 9 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.