Medicare Enrolled

Mary Gonzalez, APRN-CNP, FNP-BC

Physician Assistant · Kerrville, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
708 HILL COUNTRY DR STE 400, Kerrville, TX 78028
8308961433
Registered in NPPES since 2021
NPI: 1497419865 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Gonzalez from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Gonzalez

Mary Gonzalez is a physician assistant in Kerrville, TX, with 4 years of NPI registration. Based on federal Medicare data, Gonzalez performed 9,120 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Gonzalez received a total of $1,056 from 14 pharmaceutical and/or device companies across 28 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Gonzalez is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 4 years of NPI registration ▲ Top 1% volume in TX $1,056 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
9,120
Medicare services
Top 1% in TX for physician assistant
Not available
Unique patients (not deduplicated)
$14
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Darbepoetin injection (Aranesp) for anemia
An injection of darbepoetin alfa used for non-end-stage renal disease purposes.
3,275 $2 $20
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
676 $8 $20
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
660 $8 $36
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
470 $10 $64
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
455 $52 $250
Flow cytometry, additional marker
An additional marker is tested during a flow cytometry procedure to analyze DNA or cells. This step adds specific data points to the initial analysis.
354 $18 $180
Immunoglobulin level test
A blood test that measures the level of gammaglobulins, which are immune system proteins.
353 $9 $56
Dexamethasone injection (steroid)
An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram.
340 $0 $1
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
296 $75 $368
Injection, granisetron hydrochloride, 100 mcg 230 $0 $24
Ferritin level test (iron stores)
A blood test that measures the level of ferritin, a protein that stores iron in the body.
186 $13 $60
Iron level test 186 $6 $27
Iron binding capacity test
A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron.
185 $9 $35
Lactate dehydrogenase (LDH) level test
A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease.
155 $6 $31
Anti-nausea injection (Aloxi/palonosetron) 140 $1 $114
Immunoglobulin light chain measurement
A blood test that measures the levels of immunoglobulin light chains, which are proteins produced by plasma cells.
138 $17 $60
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
82 $113 $496
Reticulated platelet measurement
A blood test that measures the level of young, newly formed platelets in the body.
69 $35 $143
Beta-2 microglobulin level test
A blood test that measures the level of beta-2 microglobulin, a protein produced by cells in the body.
64 $16 $96
Additional sequential IV infusion, 1 hour or less
This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less.
62 $18 $157
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
61 $101 $565
Vitamin B-12 level test
A blood test that measures the amount of vitamin B-12 in your body.
49 $15 $76
Folic acid level test
A blood test that measures the amount of folic acid in the serum.
47 $14 $73
Intravenous chemotherapy infusion, 1 hour or less
Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete.
46 $82 $707
Manual white blood cell count
A laboratory test that involves examining a sample under a microscope to manually count the number of white blood cells present.
41 $4 $22
Complete blood count (CBC), automated
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood.
41 $6 $34
PSA test (prostate cancer screening) 39 $18 $94
Uric acid level test
A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines.
39 $4 $25
Carcinoembryonic antigen (CEA) level test
A blood test that measures the level of carcinoembryonic antigen (CEA) protein. This test is used to monitor certain types of cancer.
38 $19 $99
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
37 $55 $231
Automated red blood cell count with calculations
A blood test that automatically counts red blood cells and performs additional calculations to assess blood health.
35 $5 $26
C-reactive protein test (inflammation marker)
A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body.
29 $5 $33
Intravenous infusion, 1 hour or less
Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less.
29 $40 $313
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
28 $8 $96
Thyroid stimulating hormone (TSH) test
A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function.
26 $16 $80
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
20 $73 $372
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
20 $78 $327
Normal saline infusion, 1000 cc
Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution.
18 $2 $19
Prothrombin time test (blood clotting)
A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process.
16 $4 $30
Telephone medical discussion, 5-10 minutes
A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters.
16 $25 $143
Coagulation assessment blood test
A blood test that measures how long it takes for blood to clot. The sample can be plasma or whole blood.
15 $6 $52
Flow cytometry DNA or cell analysis, first marker
A laboratory test that uses a laser to analyze cells or DNA by detecting a specific marker on the cell surface or within the cell.
15 $53 $298
Additional hour of intravenous hydration
This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy.
15 $8 $75
Serum protein measurement
A blood test that measures the total amount of protein in the serum. It helps evaluate overall health and nutritional status.
13 $11 $99
Serum immunofixation test
A laboratory test that analyzes a blood serum sample to identify specific abnormal proteins. The procedure uses an immunologic technique to detect and characterize these proteins.
11 $22 $160
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
1.7% high complexity
44.0% medium
54.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,056
Total received (2021-2024)
Avg $264/year across 4 years
Top 27% in TX for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
28
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$238
2023
$413
2022
$273
2021
$132

Payments by company (2024)

Tempus AI, Inc
$75
Regeneron Healthcare Solutions, Inc.
$54
Rigel Pharmaceuticals, Inc.
$48
Blueprint Medicines Corporation
$45
GlaxoSmithKline, LLC.
$17
Top 3 companies account for 74.1% of 2024 payments
All-time payments by company (2021-2024) ›
AstraZeneca Pharmaceuticals LP
$278
Lilly USA, LLC
$250
Incyte Corporation
$78
Tempus AI, Inc
$75
Janssen Biotech, Inc.
$70
Regeneron Healthcare Solutions, Inc.
$54
PFIZER INC.
$51
Rigel Pharmaceuticals, Inc.
$48
Blueprint Medicines Corporation
$45
Gilead Sciences, Inc.
$30
Alnylam Pharmaceuticals Inc.
$25
Novartis Pharmaceuticals Corporation
$23
GlaxoSmithKline, LLC.
$17
JAZZ PHARMACEUTICALS INC.
$13
Top 3 companies account for 57.5% of all-time payments
Associated products mentioned in payments ›
AYVAKIT · CALQUENCE · CYRAMZA · DARZALEX · DUPIXENT · GIVLAARI · IBRANCE · IMFINZI · INLYTA · LYNPARZA · RETEVMO · Rezlidhia · SCEMBLIX · TECVAYLI · TRELEGY ELLIPTA · Trodelvy · ZEPZELCA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a physician assistant in Kerrville?
Compare physician assistants in the Kerrville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physician assistants in nearby ZIP areas
16
County median income
$67,927
Nearest hospital to ZIP centroid (approximate)
PETERSON REGIONAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Gonzalez is a mixed practice specialist, with above-average Medicare volume (top 1% in TX).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Gonzalez experienced with darbepoetin injection (aranesp) for anemia?
Based on Medicare claims data, Gonzalez performed 3,275 darbepoetin injection (aranesp) for anemia services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Gonzalez receive payments from pharmaceutical companies?
Yes. Gonzalez received a total of $1,056 from 14 companies across 28 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Gonzalez's costs compare to other physician assistants in Kerrville?
Gonzalez's average Medicare payment per service is $14. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Gonzalez) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →