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 Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Edward Gonzalez (NPI 1689905952)

Field	Value
Entity Type	Individual
Organization	Edward Gonzalez
Address	610 E Main St
City	Elma
State	WA
ZIP	98541
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 26, 2010

Payer Source	Total Paid
Medicare	$1.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	20	$60	$1.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	20	$20	$380

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Edward Gonzalez — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	68	9,690	60	$60	$6.5K
87426	9	120	20	$30	$1000

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunnyside Community Hospital Association	WA	Critical Access Hospital	$0	$55.1M
Grays Harbor County Public Hospital District No 1	WA	Critical Access Hospital	$0	$50.1M
Grays Harbor County Public Hospital District No. 1	WA	Rural Health Clinic/Center	$0	$24.9M
Teladoc Health Medical Group, P.A.	TX	Family Medicine Physician	$0	$17.6M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Shc Medical Center Toppenish	WA	General Acute Care Hospital	$0	$15.1M
Grays Harbor County Public Hospital District No. 1	WA	Rural Health Clinic/Center	$0	$8M
Sunnyside Community Hospital Association	WA	Rural Health Clinic/Center	$0	$7M
Grays Harbor County Public Hospital District No. 1	WA	Rural Health Clinic/Center	$0	$6.2M
Sunnyside Community Hospital Association	WA	Rural Health Clinic/Center	$0	$5.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Indian Treatment Center	WA	Substance Abuse Rehabilitation Facility	$0	$30.5M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.5M
Jamie Graves	WA	Physical Therapist	$63K	$0
Laura Brownsmith	WA	Family Nurse Practitioner	$21.4K	$0
Sonya Goodin	WA	Family Nurse Practitioner	$3.2K	$0

Edward Gonzalez — Billing Profile & Reimbursement Data

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

Edward Gonzalez — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References