Medicare Enrolled
Dr. Manuel Garcia, MD
Cardiovascular Disease · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Manuel Garcia is a cardiovascular disease specialist in San Antonio, TX, with 21 years of NPI registration. Based on federal Medicare data, Dr. Garcia performed 3,556 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 $8,441 from 31 pharmaceutical and/or device companies across 586 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.
✓ 21 years of NPI registration
▲ Top 31% volume in TX
$8,441 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,556
Medicare services
Top 31% in TX for cardiovascular disease
Not available
Unique patients (not deduplicated)
$52
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. |
598 | $85 | $258 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
594 | $6 | $23 |
| 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. |
549 | $90 | $252 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
330 | $51 | $177 |
| 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. |
309 | $9 | $50 |
| 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. |
183 | $60 | $176 |
| Heart muscle strain imaging | 181 | $9 | $33 |
| 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. |
177 | $131 | $492 |
| 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. |
128 | $66 | $174 |
| 3D radiographic procedure A radiographic imaging technique that creates three-dimensional representations of internal structures. |
99 | $7 | $118 |
| 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. |
89 | $29 | $95 |
| 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. |
64 | $55 | $197 |
| 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. |
64 | $10 | $39 |
| 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. |
61 | $16 | $59 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
27 | $9 | $185 |
| 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. |
26 | $114 | $400 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
23 | $43 | $261 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
16 | $101 | $335 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
15 | $166 | $551 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
12 | $19 | $69 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
11 | $17 | $60 |
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.
9.3% high complexity
14.7% medium
76.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,441
Total received (2018-2024)
Avg $1,206/year across 7 years
Top 36% in TX for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
586
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
$1,101
2023
$1,270
2022
$1,431
2021
$1,512
2020
$1,060
2019
$1,022
2018
$1,045
Payments by company (2024)
Novartis Pharmaceuticals Corporation
$215
Amgen Inc.
$175
Merck Sharp & Dohme LLC
$149
AstraZeneca Pharmaceuticals LP
$143
Boehringer Ingelheim Pharmaceuticals, Inc.
$108
PFIZER INC.
$79
Lexicon Pharmaceuticals, Inc.
$45
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$36
Boston Scientific Corporation
$35
Janssen Pharmaceuticals, Inc
$32
E.R. Squibb & Sons, L.L.C.
$30
Novo Nordisk Inc
$28
Kiniksa Pharmaceuticals International, plc
$14
CVRx, Inc.
$11
Top 3 companies account for 49.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$1,889
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$1,480
Janssen Pharmaceuticals, Inc
$845
Amarin Pharma Inc.
$773
Amgen Inc.
$717
Merck Sharp & Dohme LLC
$454
Boehringer Ingelheim Pharmaceuticals, Inc.
$401
AstraZeneca Pharmaceuticals LP
$391
PFIZER INC.
$240
Allergan Inc.
$213
SANOFI-AVENTIS U.S. LLC
$164
Boston Scientific Corporation
$137
Esperion Therapeutics, Inc.
$102
Lexicon Pharmaceuticals, Inc.
$93
ARBOR PHARMACEUTICALS, INC.
$66
E.R. Squibb & Sons, L.L.C.
$58
SCPHARMACEUTICALS INC.
$48
Arbor Pharmaceuticals, Inc.
$48
CVRx, Inc.
$46
BIOTRONIK INC.
$41
Alexion Pharmaceuticals, Inc.
$33
Gilead Sciences, Inc.
$32
Novo Nordisk Inc
$28
Daiichi Sankyo Inc.
$27
Kowa Pharmaceuticals America, Inc.
$22
Lilly USA, LLC
$20
Alnylam Pharmaceuticals Inc.
$19
Kiniksa Pharmaceuticals International, plc
$14
Merck Sharp & Dohme Corporation
$14
Adhera Therapeutics, Inc.
$13
Lundbeck LLC
$13
Top 3 companies account for 49.9% of all-time payments
Associated products mentioned in payments ›
Andexxa · Arcalyst · BRILINTA · BYSTOLIC · Barostim Neo System · CHANTIX · Corlanor · ELIQUIS · ENTRESTO · Edarbi · FARXIGA · FUROSCIX · INJECTAFER · Inpefa · JARDIANCE · LEQVIO · LINZESS · LifeVest · Livalo · MOUNJARO · MULTAQ · NEXLETOL · NORTHERA · ONPATTRO · PRADAXA · PRALUENT · PRESTALIA · Repatha · VERQUVO · Vascepa · WATCHMAN Access System · WATCHMAN FLX · XARELTO
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
Cardiologists in nearby ZIP areas
150
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
CHILDREN'S HOSPITAL OF SAN ANTONIO
7.8 mi
7.8 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 clinical cardiology specialist, with moderate Medicare volume, with 21 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 598 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 $8,441 from 31 companies across 586 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 cardiologists in San Antonio?
Dr. Garcia's average Medicare payment per service is $52. 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 →
Explore related providers
Same specialty & city
Cardiologists in San Antonio
Browse cardiologists in San Antonio ranked by procedure volume and transparency data.
Highest volume
Top Cardiologists in TX
Cardiologists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Cardiologists in TX
Which TX cardiologists receive the most from drug and device companies.
By company
Novartis Pharmaceuticals Corporation Payments to Doctors
See all physicians who received payments from Novartis Pharmaceuticals Corporation.
By company
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) Payments to Doctors
See all physicians who received payments from ZOLL Services LLC (A/K/A ZOLL LifeCor Corp).
By company
Janssen Pharmaceuticals, Inc Payments to Doctors
See all physicians who received payments from Janssen Pharmaceuticals, Inc.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology