Medicare Enrolled

Dr. Ruel Garcia, MD

Critical Care Medicine · Orlando, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1222 S ORANGE AVE FL 2, Orlando, FL 32806
3218417856
In practice since 2006 (19 years)
NPI: 1629170857 verify on NPPES ↗
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 →
Are you Dr. Garcia? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Garcia

Dr. Ruel Garcia is a critical care medicine in Orlando, FL, with 19 years in practice. Based on federal Medicare data, Dr. Garcia performed 4,840 Medicare services across 2,961 unique beneficiaries.

Between the years covered by Open Payments, Dr. Garcia received a total of $3,156 from 28 pharmaceutical and/or device companies across 176 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in critical care medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 5% volume in FL$ $3,156 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,840
Medicare services
Top 5% in FL for critical care medicine
2,961
Unique beneficiaries
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~255 Medicare services per year of practice

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.

ProcedureVolumeAvg. paidAvg. submitted
Hospital follow-up visit, moderate complexity1,179$63$130
Hospital follow-up visit, high complexity992$95$210
Office visit, established patient (30-39 min)880$96$190
Office visit, established patient (20-29 min)349$67$160
Initial hospital admission, high complexity307$139$405
Nursing facility visit, low complexity174$59$120
Test to measure expiratory airflow and volume161$20$95
Chest X-ray, 2 views153$25$95
Test to examine how well the lungs exchange gases138$43$150
Test to determine lung volumes using sensors134$41$210
Initial hospital admission, moderate complexity112$104$275
CT scan of chest, without contrast84$58$570
New patient office visit (45-59 min)45$124$265
Nursing facility visit, moderate complexity38$85$160
Test for exercise-induced lung stress27$25$120
Irrigation and suction of lung airways to obtain cells using an endoscope20$86$565
Aspiration of fluid from chest cavity using imaging guidance19$84$464
Chest X-ray, 1 view14$20$65
Office visit, established patient, complex (40-54 min)14$128$280
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. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$3,156
Total received (2018-2024)
Avg $451/year across 7 years
Top 32% in FL for critical care medicine
28
Companies
176
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,004 (95.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$152 (4.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$838
2023
$820
2022
$111
2021
$60
2020
$194
2019
$972
2018
$162

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$628
Philips Electronics North America Corporation
$352
GENZYME CORPORATION
$329
Boehringer Ingelheim Pharmaceuticals, Inc.
$309
AstraZeneca Pharmaceuticals LP
$229
Actelion Pharmaceuticals US, Inc.
$192
Regeneron Healthcare Solutions, Inc.
$174
Bayer Healthcare Pharmaceuticals Inc.
$117
Novartis Pharmaceuticals Corporation
$108
Grifols USA, LLC
$79
Bayer HealthCare Pharmaceuticals Inc.
$75
Mylan Specialty L.P.
$75
Insmed, Inc.
$66
Gilead Sciences, Inc.
$64
Advanced Respiratory, Inc
$57
Merck Sharp & Dohme LLC
$53
United Therapeutics Corporation
$36
JAZZ PHARMACEUTICALS INC.
$29
ABBVIE INC.
$26
Vapotherm Inc
$24
Takeda Pharmaceuticals U.S.A., Inc.
$23
Genentech USA, Inc.
$19
Paratek Pharmaceuticals, Inc.
$17
PORTOLA PHARMACEUTICALS, INC.
$16
PFIZER INC.
$15
Sandoz Inc.
$15
Allergan Inc.
$15
Teva Pharmaceuticals USA, Inc.
$13
Top 3 companies account for 41.5% of total payments
Associated products mentioned in payments ›
(8874) inCourage · ANDEXXA · ANORO · AREXVY · Adempas · Arikayce · BEVESPI AEROSPHERE · COMBIVENT RESPIMAT · DUPIXENT · ELIQUIS · FASENRA · GLASSIA · NUCALA · NUZYRA · OFEV · OPSUMIT · ORENITRAM · Prolastin-C Liquid · QVAR · REMODULIN · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TREPROSTINIL · The Vest System 205 Acute Care · The Vest System Model 105 Home Care · UPTRAVI · VAPOTHERM · WINREVAIR · XOLAIR · XYWAV · Xolair · YUPELRI · inCourage
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $65 per 100 Medicare services performed
Looking for a critical care medicine in Orlando?
Compare critical care medicines in the Orlando area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Critical Care Medicines within 10 mi
83
Per 100K population
5.8
County median income
$77,011
Nearest hospital
ORLANDO HEALTH
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Garcia is a clinical cardiology specialist, with above-average Medicare volume (top 5% in FL), and low-engagement industry engagement, with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Garcia experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Garcia performed 1,179 hospital follow-up visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Garcia receive payments from pharmaceutical companies?
Yes. Dr. Garcia received a total of $3,156 from 28 companies across 176 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 critical care medicines in Orlando?
Dr. Garcia's average Medicare payment per service is $78. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →