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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Gonsalves
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    Michael Gonsalves — Billing Profile & Reimbursement Data

    NPI 1477723120 · Rome, GA · Family Medicine Physician

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    Michael Gonsalves is a family medicine physician provider located in Rome, Georgia. This profile covers 16 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
    OrganizationMichael Gonsalves
    Address4159 Martha Berry Hwy Nw
    CityRome
    StateGA
    ZIP30165
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 10, 2008

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

    Payer SourceTotal Paid
    Medicare$51.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…310$70$21.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$120$9.3K
    99213The 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…100$50$4.6K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…20$260$4.2K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…40$70$2.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.300$10$2.4K
    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…20$110$1.8K
    87428The 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…30$50$1.4K
    G0008Administration of influenza virus vaccine40$30$1.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.60$10$730

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,07713,640120$80$17.8K
    G04391,2622,90070$120$12.4K
    992136,06613,36080$60$9.2K
    906779581,52020$280$7K
    992045,7667,26030$110$5.1K
    906621,2462,45040$70$3.8K
    364157013,010100$10$3.2K
    830361,0761,72060$10$2.1K
    G00082,0443,79050$30$2K
    8742824149030$50$1.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Floyd Healthcare Management IncGAAmbulance$2.2M$98.4M
    Floyd Cherokee Medical Center LLCALRural Health Clinic/Center$0$3.3M
    Dimple ModiGARetina Specialist (Ophthalmology) Physician$2.7M$0
    Gregory HarrisGAHematology & Oncology Physician$2M$0
    Melissa DillmonGAHematology & Oncology Physician$2M$0
    Dilawar KhanGAHematology & Oncology Physician$1.9M$0
    Floyd Healthcare Management IncGAFamily Medicine Physician$0$1.3M
    Floyd Cherokee Medical Center LLCALRural Health Clinic/Center$0$1.2M
    Jeffrey PellerGARheumatology Physician$1.1M$0
    Floyd Cherokee Medical Center LLCALRural Health Clinic/Center$0$903K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr. Miniyars Pediatrics, P.C.GAPediatrics Physician$0$18.8M
    Floyd Physicians, LLCGANeonatal-Perinatal Medicine Physician$0$2.6M
    Ear,nose,& Throat Of Northwest GeorgiaGAOtolaryngology Physician$0$2M
    Amtran Medical Transport IncGALand Ambulance$1.8M$1.7K
    Travis WhiteheadGAEmergency Medicine Physician$70.8K$702.1K
    Harbin Clinic, LLCGAAmbulatory Surgical Clinic/Center$754.6K$0
    Kathrine WhiteheadGAEmergency Medicine Physician$59.8K$626.1K
    Surgery Center Of Rome, LPGAAmbulatory Surgical Clinic/Center$681.8K$0
    Matthew MumberGARadiation Oncology Physician$636.9K$0
    Rahul GargGACardiovascular Disease Physician$605K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Michael Gonsalves — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia