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    OpenPayerNPI Medicare & MedicaidGerardo Zavala
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    Gerardo Zavala — Billing Profile & Reimbursement Data

    NPI 1275707689 · San Antonio, TX · Neurological Surgery Physician

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    Gerardo Zavala is a neurological surgery physician provider located in San Antonio, Texas. This profile covers 26 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGerardo Zavala
    Address4611 Centerview
    CitySan Antonio
    StateTX
    ZIP78228
    TaxonomyNeurological Surgery Physician
    NPI EnumeratedApril 16, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$198.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…90$270$24.2K
    99214The 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…230$90$21.9K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…300$70$21.5K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$1,030$19.6K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,070$20$19.2K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…120$150$17.6K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…30$450$11.2K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.70$150$10.3K
    99204The provider sees a new 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 provider…90$110$9.7K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…20$540$9.2K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    226128620020$1,380$30.5K
    992149,33232,500110$80$17.6K
    975302,1482,720350$20$14.3K
    971107903,610450$20$14K
    6304711534020$510$13.2K
    226143921040$210$12.4K
    9591310213030$210$11.2K
    958865245070$70$9.7K
    992138,67529,79070$60$8.4K
    228427819020$410$8.3K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ladislau AlbertTXNeurological Surgery Physician$144.1K$0
    Sarah CarlsonTXPhysician Assistant$13.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Gerardo Zavala, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Medical Home Health Services - San Antonio LLCTXHome Health Agency$0$58.8M
    Santana Primary Home Care, Inc.TXPersonal Care Attendant$0$30.6M
    Once Upon A Time Home Health, LLCTXHome Health Agency$0$24.3M
    Homelife & Community Services, Inc.TXDevelopmental Disabilities Clinic/Center$0$18.6M
    Soft Touch Home Care, IncTXHome Health Agency$0$14.2M
    Metro Treatment Of Texas LPTXMethadone Clinic$70K$3.9M
    Ricardo AlvaradoTXPain Medicine Physician$286.8K$0
    Mario JuarezTXFamily Medicine Physician$91.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Gerardo Zavala — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas