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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarco Gonzalez
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    Marco Gonzalez — Billing Profile & Reimbursement Data

    NPI 1730322116 · Miami, FL · Ophthalmology Physician

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    Marco Gonzalez is a ophthalmology physician provider located in Miami, Florida. This profile covers 28 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
    OrganizationMarco Gonzalez
    Address900 Nw 17th St
    CityMiami
    StateFL
    ZIP33136
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 14, 2009

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

    Payer SourceTotal Paid
    Medicare$3.7M
    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,880$690$2M
    J2777Injection, faricimab‑svoa, 0.1 mg17,230$30$499.5K
    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.2,480$90$230.9K
    92014An 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…2,140$100$202.9K
    J2778Injection, ranibizumab, 0.1 mg1,020$180$185.6K
    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.3,600$30$111.5K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1,550$70$105.5K
    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…860$100$84.3K
    J3490Unclassified drugs610$110$67.4K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg450$120$54K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017822250800$690$817.6K
    J27776017012,810$30$549.2K
    J277837110660$180$234.1K
    J27812650500$120$102K
    6702823300710$90$91.1K
    J34901318070$280$87.5K
    J73121640230$160$45.5K
    67036607020$1,050$31.4K
    92014252,180160$80$28.5K
    992142,48232,760140$90$25K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Daniel JewelewiczFLGlaucoma Specialist (Ophthalmology) Physician$881.4K$0
    Jay LevyFLOphthalmology Physician$791.2K$0
    Claudio FerreiraFLOphthalmology Physician$685.8K$43.8K
    Wilfredo LaraFLOphthalmology Physician$705.8K$0
    Marc WinnickFLOphthalmology Physician$675.7K$0
    Jan KronishFLOphthalmology Physician$659K$0
    Anup KubalFLOphthalmology Physician$626.7K$0
    Shailesh GuptaFLRetina Specialist (Ophthalmology) Physician$508.1K$43.1K
    Michael SchafferFLOphthalmology Physician$544.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Public Health Trust Of Miami Dade County FloridaFLGeneral Acute Care Hospital$0$79M
    University Of Miami Hospital And ClinicsFLSpecial Hospital$0$62.1M
    Dva Renal Healthcare IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$37.1M
    Brave Health Inc.FLCommunity/Behavioral Health Agency$0$23M
    City Of MiamiFLLand Ambulance$1.4M$8.7M
    University Of MiamiFLAnatomic Pathology & Clinical Pathology Physician$0$7.4M
    Action Service Solutions, LLCFLDevelopmental Disabilities Clinic/Center$0$7.3M
    Amir BaluchFLAnesthesiology Physician$6.4M$0
    Bahram KhazaiFLInternal Medicine Physician$4.4M$0
    Jaclyn KovachFLOphthalmology Physician$3.1M$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. Florida Distribution
    Marco Gonzalez — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida