Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gonzales Healthcare Systems (NPI 1013916287)

Field	Value
Entity Type	Organization
Organization	Gonzales Healthcare Systems
Address	1110 N Sarah Dewitt Dr
City	Gonzales
State	TX
ZIP	78629
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	37,180	$230	$8.5M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,570	$220	$778.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,200	$240	$768.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,630	$230	$609.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,020	$230	$464.6K
99381	The provider performs a well–baby visit for a child under the age of one.	450	$210	$92.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,670	$50	$76.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	710	$70	$49.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	990	$40	$34.5K
99383	The provider performs a well–patient visit for a child who is between the ages of 5 and 11 who meets the definition of new patient.	120	$230	$26.2K

Showing 1–10 of 55

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Gonzales Healthcare Systems — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

55 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	64	770	2,990	$170	$2.6M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,334	6,040	710	$40	$232.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	312	1,500	880	$80	$185.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	217	1,360	800	$80	$185.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,288	5,810	540	$50	$155.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	299	1,540	650	$80	$150.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	276	1,540	360	$80	$110.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	301	1,650	2,350	$10	$88.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	480	530	120	$60	$86.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	552	590	380	$50	$78.1K

Showing 1–10 of 55

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gonzales Healthcare Systems, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aaron Benner	NE	Diagnostic Radiology Physician	$237.7K	$0
Kimberly Wright	CO	Diagnostic Radiology Physician	$229.7K	$0
Adam Lewis	TX	Neurological Surgery Physician	$171.8K	$0
Gene Weinstein	MA	Neuroradiology Physician	$168.8K	$0
Steven Larsen	ID	Diagnostic Radiology Physician	$143.2K	$0
Mark Epstein	OR	Diagnostic Radiology Physician	$73.7K	$65.5K
Matthew Williamson	ID	Diagnostic Radiology Physician	$134.3K	$0
Matthew Sigley	MO	Diagnostic Radiology Physician	$115.3K	$0
Jonathan Mcdougal	MA	Diagnostic Radiology Physician	$100.2K	$0
Gautham Kandukuri	OR	Vascular & Interventional Radiology Physician	$98.5K	$0

Nearby Providers

Other providers in the same ZIP code as Gonzales Healthcare Systems, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Craig	TX	Cardiovascular Disease Physician	$1.8M	$0
Terry Eska	TX	Internal Medicine Physician	$74.4K	$0

Gonzales Healthcare Systems — Billing Profile & Reimbursement Data

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Gonzales Healthcare Systems — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References