Clinic
Alfredo V. Gonzalez, M.D.,P.A.
Alfredo V. Gonzalez, M.D.,P.A. was paid $338K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoALFREDO V. GONZALEZ, M.D.,P.A.
PHARR, TX 78577
PHARR, TX 78577
33aNPI1851342398assigned 05/12/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$338K
24GClaims31,514
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#38 of 180
Median peer was paid$25K
This provider vs. median13×
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 | 3,746 | $101K | |
| 2019 | 2,319 | $31K | |
| 2020 | 2,538 | $18K | |
| 2021 | 5,687 | $49K | |
| 2022 | 6,720 | $58K | |
| 2023 | 4,124 | $48K | |
| 2024incomplete | 6,380 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 38% | 4,952 | 4,035 | $127K |
| 99444 | 35% | 2,086 | 566 | $117K | |
| 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 | 13% | 2,408 | 2,007 | $45K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.8% | 529 | 486 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 2,332 | 2,181 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 1,126 | 1,049 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 335 | 331 | $4K |
| 99000 | <1% | 352 | 336 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 139 | 92 | $2K |
| 82947 | <1% | 2,116 | 1,583 | $2K | |
| 92100 | <1% | 81 | 79 | $927.19 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 27 | $618.68 |
26 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $439.97 |
| 95923 | <1% | 33 | $425.78 | |
| 99490 | Ccm add 20min | <1% | 58 | $410.88 |
| 81003 | <1% | 206 | $254.77 | |
| 96156 | <1% | 158 | $77.75 | |
| 93922 | <1% | 29 | $10.08 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 190 | $0.01 |
| 1160F | 0% | 2,852 | $0.00 | |
| 3078F | 0% | 1,733 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,443 | $0.00 |
| 1159F | 0% | 2,203 | $0.00 | |
| 3288F | 0% | 173 | $0.00 | |
| 1090F | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 378 | $0.00 |
| 3075F | 0% | 218 | $0.00 | |
| 3074F | 0% | 1,861 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,212 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 119 | $0.00 |
| 3079F | 0% | 445 | $0.00 | |
| 1101F | 0% | 120 | $0.00 | |
| 1170F | 0% | 87 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 235 | $0.00 |
| 4037F | 0% | 87 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 1036F | 0% | 103 | $0.00 | |
| 1126F | 0% | 20 | $0.00 |
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, ALFREDO (PHYISICAN/OWNER)