GONZALES HEALTHCARE SYSTEMS
NPI: 1811999337
· WAELDER, TX 78959
· Family Medicine Physician
· NPI assigned 08/15/2005
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | ANZALDUA, BRANDON (CEO ADMINISTRATOR) |
| Parent Organization | GONZALES HEALTHCARE SYSTEMS |
| NPI Enumeration Date | 08/15/2005 |
Related Entities
Other providers sharing the same authorized official: ANZALDUA, BRANDON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
22 |
$2K |
| 2021 |
404 |
$36K |
| 2022 |
466 |
$41K |
| 2023 |
415 |
$39K |
| 2024 |
210 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,466 |
1,298 |
$137K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 90686 |
|
13 |
12 |
$96.31 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |