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    OpenPayerNPI Medicare & MedicaidGonzalo Hidalgo
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    Gonzalo Hidalgo — Billing Profile & Reimbursement Data

    NPI 1679640254 · Alexandria, LA · Neurology Physician

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    Gonzalo Hidalgo is a neurology physician provider located in Alexandria, Louisiana. This profile covers 27 Medicare and 4 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)

    FieldValue
    Entity TypeIndividual
    OrganizationGonzalo Hidalgo
    Address3311 Prescott Rd
    CityAlexandria
    StateLA
    ZIP71301
    TaxonomyNeurology Physician
    NPI EnumeratedNovember 29, 2006

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

    Payer SourceTotal Paid
    Medicare$371.7K
    Medicaid$8.4K

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit9,700$10$48.5K
    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…740$60$43.8K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…190$210$40.1K
    93886The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…210$190$39.5K
    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…420$90$37K
    J0475Injection, baclofen, 10 mg220$140$30.9K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…140$120$16.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…150$100$15K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…100$150$15K
    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…100$120$11.6K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058513408,800$1$48.6K
    J0475210220$130$24.4K
    9388642040$170$18.9K
    992149366,670110$80$16.5K
    992321,1772,58090$60$13.3K
    992331,6882,01070$90$12.3K
    95886299080$70$9.5K
    9591272030$180$9K
    95819284030$170$8.9K
    992158491,65040$110$8.4K

    Showing 1–10 of 27

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…210$30$5.6K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…20$50$1.2K
    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…20$40$950
    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…10$50$760

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,7242,890980$40$246.8K
    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…2,3643,2301,120$30$204.3K
    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…3740460$60$116.5K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…3750120$60$34K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christus Health Central LouisianaLAGeneral Acute Care Hospital$0$30.1M
    Lasalle Parish Hospital Service District #1LARural Health Clinic/Center$0$19.7M
    Lasalle Parish Hospital Service District #1LARural Health Clinic/Center$0$11.6M
    Christus Health Central LouisianaLACritical Access Hospital Clinic/Center$0$6.2M
    Lasalle Parish Hospital Service Dist No1LACritical Access Hospital$0$5.3M
    Christus Health Central LouisianaLACritical Access Hospital$0$4.9M
    Stephen PriceLAPhysician Assistant$3.4M$0
    Thomas NortonLAOphthalmology Physician$1.2M$21.6K
    Patrick RedmondLAOphthalmology Physician$969.5K$113.1K
    Eric ReishLAOphthalmology Physician$975.5K$106.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rapides Healthcare System, L.L.C.LAGeneral Acute Care Hospital$0$26.9M
    Acs Primary Care Physicians Louisiana PCLAEmergency Medicine Physician$0$20.6M
    Radiology Associates Of Southwest LouisianaLADiagnostic Radiology Physician$0$18.4M
    Eckerd Youth Alternatives, Inc. Dba Eckerd ConnectsLACommunity/Behavioral Health Agency$0$11.8M
    Gulf Coast Teaching Family Services, Inc.LACommunity/Behavioral Health Agency$0$11.4M
    Rapides Assoc For Retarded CitizensLADevelopmentally Disabled Services Day Training Agency$0$9.6M
    Shahid Mansoor Md, ApmcLAPediatrics Physician$0$8.2M
    Cenla Children's Clinic & AssociatesLASpecialist$0$7.6M
    Medical Resources & Guidance, Inc.LACase Management Agency$0$6.1M
    Shahid Mansoor, M.d. A Professional Medical CorporationLARural Health Clinic/Center$0$6M

    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. Louisiana Distribution
    Gonzalo Hidalgo — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Gonzalo Hidalgo — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana