RAFAEL GARCIA, MD
Otolaryngology Physician · HIALEAH, FL
Individual Active NPI 1740221761
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 103 | 691 | $96,854 | $37,863 | $30,127 |
| 2023 | 138 | 500 | $111,369 | $41,304 | $32,042 |
| 2022 | 156 | 659 | $130,505 | $55,218 | $41,926 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 87 | $101 | $81 |
| 69210 | Removal of impacted ear wax | 41 | $53 | $43 |
| 92504 | Exam of ear using a microscope | 27 | $31 | $25 |
| 92550 | Test for eardrum and muscle function | 27 | $23 | $18 |
| 92557 | Comprehensive hearing and speech recognition test | 27 | $39 | $31 |
| 92588 | Placement of ear probe for computerized measurement of repeated sounds with interpretation and report | 27 | $36 | $28 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 27 | $126 | $99 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | $143 | $112 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 | $189 | $153 |
| 31579 | Exam to assess movement of vocal cord flaps using an endoscope | 13 | $223 | $181 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ✓ | ME135257 | FL |
| Otolaryngology Physician | 207Y00000X | L4948 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.