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    OpenPayerNPI Medicare & MedicaidOmar Gonzalez
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    Omar Gonzalez — Billing Profile & Reimbursement Data

    NPI 1659475309 · Mcallen, TX · Emergency Medicine Physician

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    Omar Gonzalez is a emergency medicine physician provider located in Mcallen, Texas. This profile covers 17 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
    OrganizationOmar Gonzalez
    Address101 E Ridge Rd
    CityMcallen
    StateTX
    ZIP78503
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedSeptember 12, 2006

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

    Payer SourceTotal Paid
    Medicare$2M
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)1,780$1,000$1.8M
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.250$340$82.9K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…640$100$61.5K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.150$110$17.2K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…80$170$13.6K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.120$80$10K
    99308The 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…170$60$9.7K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…90$100$9.4K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…140$60$8.5K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…70$110$7.6K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42365102,010$990$2.5M
    97610740160$310$54.7K
    993091,3161,840240$70$35K
    110437416060$150$32.9K
    993087921,600170$50$23.8K
    99349961,050100$80$19.5K
    29581236070$80$13.8K
    1104229879090$70$13K
    152711712070$100$9.9K
    9930514361040$100$6.9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johnson LeeCAPlastic Surgery Physician$22.5M$0
    James MichailCAGeriatric Medicine (Family Medicine) Physician$20.4M$86.8K
    Gautam BhaktaCAInternal Medicine Physician$19M$0
    Jack AzadCAGeneral Practice Physician$17.2M$0
    Ravindra GautamCAInternal Medicine Physician$13M$0
    Millicent RoveloCAPlastic Surgery Physician$6.1M$0
    Charles AtkinsonAZSurgery Physician$5.7M$0
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Peter WeigelNJInternal Medicine Physician$1M$0
    David KayCAFamily Medicine Physician$680.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Volver A Casa Home Health Services, Inc.TXPersonal Care Attendant$0$27M
    Columbia Rio Grande Healthcare, L.P.TXGeneral Acute Care Hospital$0$17.7M
    Med Care Emergency Medical Services IncTXAmbulance$1.2M$10.9M
    Billie MarekTXMedical Oncology Physician$1.6M$0
    Abdulrahman RagehTXOphthalmology Physician$956.9K$429.9K
    Endoscopy Center At Ridge Plaza LPTXAmbulatory Surgical Clinic/Center$187.9K$564.3K
    Sanjeeb BhandariTXOphthalmology Physician$678.1K$0
    Javier LealTXPhysical Therapist$478.5K$0
    Nyan PhyoTXNephrology Physician$350K$0
    Enrique GriegoTXFamily Medicine Physician$129.3K$198.1K

    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. Texas Distribution
    Omar Gonzalez — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas