PROVIDER PROFILE · NPI 1871547596

Elvin GarciaM.D.

PRACTICEELVIN R. GARCIA, MD., PA.See all providers at this practice →

RheumatologyMcallen, TXI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,789

Unique beneficiaries

—

Total services

95,778

Distinct HCPCS

Medicare payment

$1.3M

Peer benchmark

Total Medicare services vs. 382 Rheumatology providers in TX — top quintile (cohort median 13,742).

PRESCRIBING · PART D · 2024

Total Rx claims

41,567

Beneficiaries

—

Total drug cost

$42.6M

Distinct drugs

107

Brand share

21.8%

Top prescribed drugs

Gabapentin4,207 claims

Baclofen2,721 claims

Sulfasalazine2,712 claims

Diclofenac Sodium2,161 claims

Hydroxychloroquine Sulfate2,138 claims

QUALITY · MIPS · 2024

Final MIPS score

90.9

Quality

68.0

Cost

79.3

Improvement activities

40.0

Promoting interop.

95.0

Payment adjustment

0.67%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$13K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$12K

Food and Beverage$671

Education$154

REFERRAL NETWORK

Where Elvin Garcia's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 76 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
DOCTORS HOSPITAL AT RENAISSANCE, LTD	1,105	5,713
Clinical Pathology Laboratories, Inc. Clinical Laboratory · Austin, TX	86	242
GRAHAM, FRANKLIN	82	161
Vangala Reddy Diagnostic Radiology · Edinburg, TX	75	176
GRACIA HOSPICE CARE, LLC	57	336
MISSION HOSPITAL, INC.	49	99
NPI 1437107588	45	100
Med Care Emergency Medical Services Inc Ambulance Service Provider · Mcallen, TX	44	108
Enrique Griego Family Practice · Mcallen, TX	39	180
ZION LABORATORY SERVICES, INC.	37	136
RAYMOND P MUSSETT MD PLLC	35	127
Monica Gonzalez-Deluna Diagnostic Radiology · Houston, TX	31	64

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history