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NPI 1477585776 · Red Bluff, CA · Surgery Physician
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James Gonzalez is a surgery physician provider located in Red Bluff, California. This profile covers 19 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | James Gonzalez |
| Address | 2580 Sister Mary Columba Dr Ste 200 |
| City | Red Bluff |
| State | CA |
| ZIP | 96080 |
| Taxonomy | Surgery Physician |
| NPI Enumerated | July 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $179.8K |
| Medicaid | $31.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 47562 | The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. | 60 | $520 | $29K |
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 70 | $350 | $23.2K |
| 99203 | The provider sees a new 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 provider… | 240 | $90 | $20.6K |
| 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… | 290 | $70 | $20.4K |
| 35301 | The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision. | 20 | $860 | $18.1K |
| 44140 | The provider surgically removes a portion of the colon and then reconnects the cut ends of the colon to restore continuity. | 10 | $1,030 | $12.4K |
| 49593 | The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are reducible, or able to be pushed back inside… | 20 | $420 | $8K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 200 | $40 | $7.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 140 | $50 | $6.5K |
| 99221 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 90 | $70 | $5.7K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 37,699 | 37,970 | 120 | $90 | $23.2K |
| 33533 | 83 | 200 | 20 | $880 | $21.2K |
| 99232 | 9,503 | 12,280 | 90 | $70 | $16.3K |
| 49650 | 5 | 200 | 20 | $660 | $15.7K |
| 35301 | 11 | 40 | 20 | $680 | $13.5K |
| 99213 | 6,305 | 34,660 | 80 | $70 | $13.2K |
| 44140 | 1 | 10 | 10 | $1,030 | $12.4K |
| 47562 | 1 | 190 | 20 | $540 | $9.2K |
| 49591 | 3 | 20 | 10 | $450 | $7.1K |
| 49651 | 2 | 10 | 10 | $530 | $6.3K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 240 | $60 | $14.3K |
| 47562 | The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. | 10 | $700 | $8.3K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 140 | $30 | $4.1K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 30 | $90 | $2.5K |
| 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… | 50 | $20 | $1.1K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 10 | $40 | $560 |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 10 | $10 | $120 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 12,200 | 14,520 | 760 | $10 | $122.8K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 1,978 | 2,180 | 180 | $70 | $67.9K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 365 | 670 | 180 | $40 | $66.7K |
| 99203 | The provider sees a new 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 provider… | 2,477 | 5,590 | 180 | $50 | $62.4K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 477 | 630 | 130 | $60 | $47K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 5,355 | 5,600 | 440 | $10 | $44.4K |
| 47562 | The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. | 92 | 110 | 40 | $430 | $33.7K |
Other providers in the same ZIP code as James Gonzalez, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Greenville Rancheria | CA | Community Health Clinic/Center | $0 | $60.6M |
| Dignity Health | CA | General Acute Care Hospital | $0 | $39.9M |
| Rolling Hills Clinic | CA | Federally Qualified Health Center (FQHC) | $0 | $38.6M |
| Greenville Rancheria | CA | Dentist | $0 | $28.8M |
| Dignity Health | CA | Rural Health Clinic/Center | $0 | $28.4M |
| Richard Musselman | CA | Family Medicine Physician | $906.5K | $0 |
| Brian Haugen | CA | Ophthalmology Physician | $798.6K | $0 |
| Sanjiv Faldu | CA | Cardiovascular Disease Physician | $314.9K | $0 |
| Neil Louwrens | CA | Internal Medicine Physician | $93.6K | $114.6K |
| Riico Dotson | CA | Orthopaedic Surgery Physician | $163.5K | $4.2K |
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