Dr. Potenciano Garcia, MD
1200 E Savannah Ave Ste 16, Mcallen, TX 78503 • +1-764-555-6470
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Mcallen Percentiles
NPI #1649281072 • CBSA Regional • Pulmonary Disease
Statistical peer benchmarking across TX Pulmonary Disease providers positions Dr. Potenciano Garcia, MD in Mcallen at -0.40σ (42.86th city percentile / 10.8th state percentile, 179 Medicare beneficiaries), with clinical focus spanning 24 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1649281072 highlights 340 annual claims for 99214 (42.86th Mcallen percentile; $165–$226 self-pay corridor) plus 191 encounters under 94060 and 141 under 94729.
For out-of-network patients contacting +1-764-555-6470, Dr. Garcia's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.65/5 composite reality score over 16 submissions).
Patients evaluating Dr. Potenciano Garcia in ZIP 78503 note 24 years of post-doctoral tenure (null, 2002) alongside 4.6 annual CMS procedures per patient.
Compared against Mcallen, TX Pulmonary Disease peers
830 annual services across 179 beneficiaries
Standard deviations from TX Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 340 | 42.86th | $165 – $226 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 191 | 39.86th | $107 – $147 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 141 | 42.86th | $97 – $133 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 91 | 39.86th | $301 – $412 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 66 | 44.86th | $232 – $318 |
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Dr. Potenciano Garcia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Garcia National Provider Identifier | NPI #1649281072 (MD) | CMS NPPES Registry (78503) |
| Dr. Garcia Mcallen CMS Volume Rank | 42.86th Pct (830 CMS svcs; Z -0.401σ) | CMS Medicare Part B (TX Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mcallen, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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