Physician
Edulfo Gonzalez, M.D., PLLC
Edulfo Gonzalez, M.D., PLLC was paid $534K by Medicaid between Jan 2018 and Feb 2024, across 8 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 36% of everything it billed.
33Billing provider infoEDULFO GONZALEZ, M.D., PLLC
SAN ANTONIO, TX 78240
SAN ANTONIO, TX 78240
33aNPI1316296098assigned 09/10/2012
33bProvider typePsychiatry Physician
28Total paid$534K
24GClaims13,123
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Psychiatry Physician providers in Texas
Rank by total paid#64 of 311
Median peer was paid$63K
This provider vs. median8.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 649 | $9K | |
| 2019 | 442 | $6K | |
| 2020 | 620 | $15K | |
| 2021 | 3,672 | $151K | |
| 2022 | 4,238 | $183K | |
| 2023 | 3,136 | $153K | |
| 2024incomplete | 366 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 36% | 6,616 | 1,597 | $190K |
| 99223 | Prolong inpt eval add15 m | 30% | 1,385 | 1,358 | $158K |
| 99238 | Hospital discharge day management, 30 minutes or less | 15% | 1,534 | 1,431 | $78K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 1,659 | 1,417 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 1,316 | 1,284 | $23K |
| 99442 | 2.0% | 416 | 407 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 155 | 153 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 42 | 39 | $263.64 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGONZALEZ-SANCHEZ, EDULFO (MEMBER)