Medicare Enrolled
Dr. Ronnie Garcia, M.D.
Internal Medicine · New Braunfels, TX
Practice pattern: Cardiac & Electrophysiology
— Practice combining cardiac and electrophysiology services
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Garcia from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Garcia
Dr. Ronnie Garcia is an internal medicine specialist in New Braunfels, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Garcia performed 7,320 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Garcia received a total of $9,562 from 35 pharmaceutical and/or device companies across 279 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Garcia is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 4% volume in TX
$9,562 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗7,320
Medicare services
Top 4% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,604 | $85 | $362 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
1,256 | $10 | $70 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
687 | $110 | $728 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
424 | $44 | $152 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
261 | $47 | $136 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
258 | $56 | $251 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
251 | $93 | $292 |
| Heart muscle strain imaging | 248 | $19 | $138 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
222 | $130 | $574 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
186 | $48 | $378 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
177 | $60 | $268 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
160 | $56 | $504 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
155 | $333 | $1,749 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
142 | $4 | $27 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
129 | $7 | $55 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
111 | $111 | $512 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
106 | $28 | $124 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
90 | $8 | $18 |
| Basic blood chemical test (calcium, ionized) A blood test that measures basic chemical levels, specifically including calcium and ionized calcium. |
86 | $13 | $39 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
84 | $128 | $637 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
70 | $36 | $120 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
50 | $18 | $70 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
47 | $46 | $242 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
45 | $38 | $156 |
| Red blood cell concentration measurement A laboratory test that measures the concentration of red blood cells in the blood. |
45 | $2 | $11 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
45 | $2 | $11 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
43 | $9 | $44 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
41 | $17 | $129 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
32 | $167 | $867 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording, analyzing, and interpreting a continuous external electrocardiogram (EKG) over a period of more than 48 hours up to 7 days. |
31 | $198 | $806 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
25 | $73 | $330 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
23 | $80 | $335 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
20 | $13 | $60 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
20 | $34 | $195 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
19 | $84 | $408 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
18 | $4 | $23 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
16 | $34 | $216 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
16 | $132 | $700 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
14 | $14 | $57 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
14 | $2 | $11 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
13 | $23 | $83 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
13 | $140 | $401 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
12 | $11 | $50 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
11 | $17 | $68 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
12.0% high complexity
18.6% medium
69.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,562
Total received (2018-2024)
Avg $1,366/year across 7 years
Top 9% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
279
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$827
2023
$1,016
2022
$673
2021
$1,622
2020
$887
2019
$2,234
2018
$2,304
Payments by company (2024)
Abbott Laboratories
$282
Boston Scientific Corporation
$262
Janssen Pharmaceuticals, Inc
$136
E.R. Squibb & Sons, L.L.C.
$93
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$22
Boehringer Ingelheim Pharmaceuticals, Inc.
$17
Novartis Pharmaceuticals Corporation
$14
Top 3 companies account for 82.2% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$2,171
BOSTON SCIENTIFIC CORPORATION
$1,927
E.R. Squibb & Sons, L.L.C.
$929
Janssen Pharmaceuticals, Inc
$857
Abbott Laboratories
$696
Amgen Inc.
$477
Novartis Pharmaceuticals Corporation
$372
AstraZeneca Pharmaceuticals LP
$324
Amarin Pharma Inc.
$230
Biosense Webster, Inc.
$209
PFIZER INC.
$183
Silk Road Medical, Inc.
$175
Merck Sharp & Dohme LLC
$128
BIOTRONIK INC.
$101
Inari Medical, Inc.
$93
Esperion Therapeutics, Inc.
$90
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$79
AngioDynamics, Inc.
$72
Medtronic Vascular, Inc.
$67
Boehringer Ingelheim Pharmaceuticals, Inc.
$62
Relypsa, Inc.
$56
Merck Sharp & Dohme Corporation
$53
SANOFI-AVENTIS U.S. LLC
$28
Medtronic, Inc.
$23
Impulse Dynamics (USA) Inc.
$18
PORTOLA PHARMACEUTICALS, INC.
$18
Regeneron Healthcare Solutions, Inc.
$17
Actelion Pharmaceuticals US, Inc.
$16
Tactile Systems Technology Inc
$16
Edwards Lifesciences Corporation
$14
Gilead Sciences, Inc.
$13
ARALEZ PHARMACEUTICALS US INC.
$13
Allergan Inc.
$12
ARBOR PHARMACEUTICALS, INC.
$11
Kowa Pharmaceuticals America, Inc.
$11
Top 3 companies account for 52.6% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · AURYON LASER SYSTEM 100-120 VAC · BRILINTA · BYSTOLIC · CAMZYOS · CARDIOMEMS · CHANTIX · CardioMEMS HF System · Carto 3 System · Corlanor · ELIQUIS · ENROUTE Transcarotid Stent · ENTRESTO · EVKEEZA · EXALT · Edarbi · FARXIGA · FLOWTRIEVER CATHETER · Flexitouch Plus · GENERAL THERAPIES · GENERAL TACHY · GENERAL THERAPIES · GENERAL - TACHY · GENERAL - THERAPIES · GENERAL TACHY · GENERAL THERAPIES · GENERAL VASCULAR ACCESS · General - Therapies · HeartMate 3 Left Ventricular Assist Device · JARDIANCE · LATITUDE · LEQVIO · LUX DX · LUX-DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livalo · Mitra Clip system · NEXLETOL · NEXLIZET · ONYX FRONTIER · OPSUMIT · Optimizer · PRALUENT · PressureWire FFR · Repatha · Reveal LINQ · S · SAPIEN 3 Ultra RESILIA · SQ RX PULSE GENERATOR · VERQUVO · Vascepa · Veltassa · WATCHMAN · XARELTO · Xience Sierra Coronary Stent · ZONTIVITY
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
115
County median income
$93,776
Nearest hospital to ZIP centroid (approximate)
RESOLUTE HEALTH HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Garcia is a cardiac & electrophysiology specialist, with above-average Medicare volume (top 4% in TX), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Garcia experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Garcia performed 1,604 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Garcia receive payments from pharmaceutical companies?
Yes. Dr. Garcia received a total of $9,562 from 35 companies across 279 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Garcia's costs compare to other internal medicine physicians in New Braunfels?
Dr. Garcia's average Medicare payment per service is $64. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Garcia) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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