Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arizona (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Andreas Gonzalez (NPI 1679968572)

Field	Value
Entity Type	Individual
Organization	Andreas Gonzalez
Address	6561 E Carondelet Dr
City	Tucson
State	AZ
ZIP	85710
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 30, 2015

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider is effectively single‑payer Medicare: total Medicare revenue is $2.4M while Medicaid billing is listed as none, indicating no Medicaid activity on file and heavy dependence on Medicare for clinical volume and revenue. The NPI was enumerated 2015-03-30 (~11 years ago), so this is an established Medicare-facing practice with roughly a decade of billing history.

Revenue is highly concentrated in a small set of ophthalmology/retina codes: the precomputed top 3 Medicare codes account for 74.2% of the provider's Medicare revenue, with J0178 contributing $1.1M (45.0%), J2777 contributing $567.2K (23.2%), and 67028 contributing $149.9K (6.1%). This concentration signals that anti‑VEGF drug administration and intravitreal injection procedures are the primary revenue drivers for the practice.

The clinical/service mix is consistent with a medical retina practice focused on intravitreal biologic therapy and retinal diagnostics: high revenue from J0178 (aflibercept) and J2777 (faricimab) alongside procedure code 67028 (intravitreal injection) indicates routine, repeated in‑office injections. Complementary high volumes of retinal imaging (92134) and frequent established‑patient visits (99214) reinforce a workflow centered on ongoing retina care, monitoring, and follow‑up.

Competitive standing for the top drug and procedure codes is notable but not nationally dominant: J0178 ($1.1M) ranks #758 of 3204 providers nationally (76th percentile; typical, unremarkable volume for this code), J2777 ($567.2K) ranks #548 of 2039 (73th percentile; typical, unremarkable volume for this code), and 67028 ($149.9K) ranks #686 of 4255 (84th percentile; typical, unremarkable volume for this code). These placements indicate meaningful activity in anti‑VEGF delivery and injections relative to peers, but they do not reflect exclusive market leadership at the national level.

The practice shows several statistical outliers that characterize its operational intensity: 99214 appears as an extreme outlier (1.5K claims, $140K revenue; ranks #3347 of 479517 providers nationally, 99th percentile; extreme outlier, far above typical national volume for this code) and 92134 is also an extreme outlier (3.1K claims, $90.7K revenue; ranks #348 of 26868 providers nationally, 99th percentile; extreme outlier, far above typical national volume for this code). Those extreme volumes for established‑patient visits and retinal OCT imaging suggest high throughput of follow‑up visits and diagnostic monitoring that support the injection workflow.

Drug‑billing complexity and non‑standard drug charges are material to revenue: J3490 (unclassified drugs) accounts for $115K (63 claims, $1826 avg paid/claim) and ranks #1326 of 2838 (53th percentile; typical, unremarkable volume for this code), while J7999 (compounded drug) contributes $36K (486 claims) and ranks #167 of 1333 (88th percentile; typical, unremarkable volume for this code). These figures indicate a nontrivial portion of income comes from non‑standard or compounded drug billing, which can affect payer negotiations and audit focus.

Beyond injection and imaging codes, the provider posts above‑typical volumes for comprehensive ophthalmology visits: 92014 shows 944 claims and $78.4K revenue (ranks #1876 of 35415, 95th percentile; notably above typical national volume for this code) and 92004 shows 289 claims and $28K revenue (ranks #481 of 26467, 98th percentile; notably above typical national volume for this code). High volumes in both new and established comprehensive exams indicate steady patient intake and capacity for continuity of care in addition to procedure‑driven business.

Operational risk and strategic sensitivity are concentrated in Medicare reimbursement and anti‑VEGF utilization: with $2.4M of revenue entirely from Medicare and 74.2% of that tied to three injection‑related codes, reimbursement changes to J0178/J2777 or to intravitreal injection policy would disproportionately affect this provider's revenue stream. The ~11‑year enumeration suggests an established billing pattern that payers and competitors can benchmark, but the absence of Medicaid activity means the provider lacks diversification into state‑managed programs.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,600	$690	$1.1M
J2777	Injection, faricimab‑svoa, 0.1 mg	19,560	$30	$567.2K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,610	$90	$149.9K
99214	The 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…	1,540	$90	$140K
J3490	Unclassified drugs	60	$1,830	$115K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	3,130	$30	$90.7K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	940	$80	$78.4K
J2778	Injection, ranibizumab, 0.1 mg	370	$180	$67.2K
J7999	Compounded drug, not otherwise classified	490	$70	$36K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	290	$100	$28K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Andreas Gonzalez — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	14	50	780	$690	$734.8K
J2777	16	50	9,000	$30	$525.8K
J2778	21	30	550	$180	$198K
67028	25	60	1,240	$90	$119K
J7999	24	50	490	$70	$46.8K
67108	12	20	20	$1,230	$33.2K
92242	8	10	40	$200	$23.5K
J9035	11	20	210	$50	$22.5K
92014	32	650	140	$80	$21.5K
99214	163	10,410	120	$80	$20.6K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
Rasw, PC	AZ	Retina Specialist (Ophthalmology) Physician	$0	$11.6M
Charles Wykoff	TX	Ophthalmology Physician	$6.2M	$0
Matthew Benz	TX	Ophthalmology Physician	$5.7M	$0
David Brown	TX	Ophthalmology Physician	$5.7M	$0
Tien Wong	TX	Ophthalmology Physician	$4.5M	$0
Jay Wang	FL	Medical Oncology Physician	$4.5M	$0
Joseph Sedrak	TX	MOHS-Micrographic Surgery Physician	$4.4M	$0
Mark Walsh	AZ	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Ankoor Shah	TX	Ophthalmology Physician	$3.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Blake Foundation	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$80.8M
Cobros Iii, LLC	AZ	Community/Behavioral Health Agency	$0	$61.4M
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$24.3M
Saguaro Senior Living, Inc.	AZ	Assisted Living Facility	$0	$22.5M
Arizona Total Care LLC	AZ	Multi-Specialty Clinic/Center	$0	$16.7M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$164.3K	$14.2M
Solace Behavioral Health LLC	AZ	Community/Behavioral Health Agency	$0	$11.9M
Devereux Foundation	AZ	Mental Illness Community Based Residential Treatment Facility	$0	$8.7M
Caring Connections For Special Needs, LLC	AZ	Community/Behavioral Health Agency	$0	$7.5M
Sean Garrity	AZ	Ophthalmology Physician	$3.4M	$0

Andreas Gonzalez — Billing Profile & Reimbursement Data

Sign up for Andreas Gonzalez — Billing Profile & Reimbursement Data policy alerts

Andreas Gonzalez — Billing Profile & Reimbursement Data

Sign up for Andreas Gonzalez — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References