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    OpenPayerNPI Medicare & MedicaidChristine Gonzales
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    Christine Gonzales — Billing Profile & Reimbursement Data

    NPI 1700809365 · Ashland, OR · Ophthalmology Physician

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    Christine Gonzales is a ophthalmology physician provider located in Ashland, Oregon. This profile covers 21 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
    OrganizationChristine Gonzales
    Address246 Catalina Dr
    CityAshland
    StateOR
    ZIP97520
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 25, 2006

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    CHRISTINE GONZALES is an ophthalmology physician with lifetime Medicare revenue of $2.1M and no Medicaid billing on file; this makes her effectively a Medicare-only biller in the available data and shapes payer-mix analysis around a single federal payer. The provider's NPI was enumerated 2006-07-25 (~20 years ago), indicating long-standing enrollment that supports an established billing history.

    Revenue is highly concentrated in a small set of procedures: the precomputed top-3 Medicare codes by revenue account for 73.8% of this provider's total Medicare revenue. Those top three are J0178 ($1.1M, 54.9%), J2777 ($234.9K, 11.3%), and 67028 ($159K, 7.6%), together dominating the practice's Medicare receipts.

    The code mix signals a retina-focused, injection-centric practice. J0178 (Injection, aflibercept) and J2777 (Injection, faricimab) are the two largest revenue drivers and 67028 describes intravitreal injection as an isolated procedure; alongside high-volume imaging codes such as 92134 and 92235, this pattern is characteristic of a retinal injection clinic that pairs therapeutic intravitreal injections with diagnostic retinal imaging.

    Competitive standing on key retina codes is mixed: J0178 ranks #702 of 3204 providers nationally (78th percentile) and 67028 ranks #737 of 4255 (83th percentile), which suggests a solid, above-average presence among peers for common anti-VEGF/injection services. By contrast, J2777 ranks #1163 of 2039 providers nationally (43th percentile), indicating that faricimab billing is more modest relative to the national set of billers for that specific drug.

    Several services appear at notably high national percentiles, marking them as statistical highs in this provider's mix. J7999 (compounded drug) appears with 980 claims, $71.5K revenue and ranks #53 of 1333 providers nationally (96th percentile, described as notably above typical national volume); diagnostic codes 92134 (2K claims, $60.5K, 96th percentile) and 92235 (582 claims, $59.4K, 97th percentile) are also flagged as notably above typical national volume, underscoring heavy use of retina imaging and compounded/ancillary drug billing.

    Evaluation-and-management activity is substantial and weighted toward established-patient visits: 99214 shows 546 claims and $49.7K revenue (2.4% of Medicare revenue) and ranks #42176 of 479517 providers nationally (91th percentile), while 99213 shows 532 claims and $36.7K revenue (1.8%) and ranks #24217 of 457151 providers nationally (95th percentile). These high percentiles for common ophthalmology E/M codes imply steady clinic throughput supporting the injection and imaging workload.

    There are some anomalous or low-revenue line items worth noting for coding review or operational context: J3490 (unclassified drugs) generated $95.5K across 56 claims (4.6% of Medicare revenue) and is labeled typical, while J3590 (unclassified biologics) shows $37.3K from 20 claims and is described as typical despite a lower national rank (#579 of 631, 7th percentile). Additionally, J1100 appears on file with 70 claims but $0 avg paid/claim and $0 revenue, a pattern that should be interpreted cautiously in downstream analyses rather than assumed to represent realized revenue.

    Taken together, the data depict an established (~20-year) ophthalmology practice heavily oriented toward intravitreal therapeutic injections and retinal diagnostics, with Medicare providing virtually the entire documented payer volume. The concentration of 73.8% of Medicare revenue in three retina-related codes and several services at very high national percentiles suggests a specialized clinical footprint and operational focus on retina care within the Medicare population.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,680$680$1.1M
    J2777Injection, faricimab‑svoa, 0.1 mg8,100$30$234.9K
    67028The 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.1,560$100$159K
    J3490Unclassified drugs60$1,710$95.5K
    J7999Compounded drug, not otherwise classified980$70$71.5K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg530$120$63K
    92134The 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.1,950$30$60.5K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…580$100$59.4K
    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…550$90$49.7K
    J3590Unclassified biologics20$1,860$37.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781160840$680$623.7K
    J2777223010,050$30$527.6K
    J2781810690$120$102.6K
    670281070580$90$72.3K
    J7312610300$150$47.7K
    J3490205040$640$42.9K
    J7999250270$70$23.4K
    J359021070$320$21K
    9201483440110$80$16K
    9223523060$100$11.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John HyattORRetina Specialist (Ophthalmology) Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Asante Ashland Community Hospital, LLCORGeneral Acute Care Hospital$0$9M
    Southern Oregon Chiropractic-ashland LLCORRehabilitation Chiropractor$0$2.7M
    Jeffrey WelderOROphthalmology Physician$2.3M$0
    City Of AshlandORLand Ambulance$401.3K$1.1M
    David DrylandORRheumatology Physician$1.4M$0
    Bear Creek Physical TherapyORPhysical Therapist$0$1.3M
    Rogue Community HealthORFederally Qualified Health Center (FQHC)$0$1.3M
    Ashland Surgery CenterORAmbulatory Surgical Clinic/Center$1.2M$3.2K
    Robert MedeckORChiropractor$8.2K$1M
    Jared FredricksonOROphthalmology Physician$650.8K$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. Oregon Distribution
    Christine Gonzales — 6 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon