Medicare Enrolled

Dr. Mary Gonzalez, APRN-CNP, FNP-BC

Physician Assistant · Kerrville, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
708 HILL COUNTRY DR STE 400, Kerrville, TX 78028
8308961433
In practice since 2021 (4 years)
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 Dr. 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 Dr. Gonzalez

Dr. Mary Gonzalez is a physician assistant in Kerrville, TX, with 4 years in practice. Based on federal Medicare data, Dr. Gonzalez performed 9,120 Medicare services across 3,095 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gonzalez received a total of $1,056 from 14 pharmaceutical and/or device companies across 28 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Gonzalez is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 4 years in practice▲ Top 1% volume in TX$ $1,056 industry payments

Medicare Practice Summary

Medicare Utilization ↗
9,120
Medicare services
Top 1% in TX for physician assistant
3,095
Unique beneficiaries
$14
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~2,280 Medicare services per year of practice

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.

ProcedureVolumeAvg. paidAvg. submitted
Darbepoetin injection (Aranesp) for anemia3,275$2$20
Blood draw (venipuncture)676$8$20
Complete blood count (CBC) with differential660$8$36
Comprehensive metabolic blood panel470$10$64
Office visit, established patient (20-29 min)455$52$250
Flow cytometry, additional marker354$18$180
Immunoglobulin level test353$9$56
Dexamethasone injection (steroid)340$0$1
Office visit, established patient (30-39 min)296$75$368
Injection, granisetron hydrochloride, 100 mcg230$0$24
Ferritin level test (iron stores)186$13$60
Iron level test186$6$27
Iron binding capacity test185$9$35
Lactate dehydrogenase (enzyme) level155$6$31
Anti-nausea injection (Aloxi/palonosetron)140$1$114
Measurement of immunoglobulin light chains138$17$60
Office visit, established patient, complex (40-54 min)82$113$496
Reticulated (young) platelet measurement69$35$143
Beta-2 microglobulin (protein) level64$16$96
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less62$18$157
New patient office visit (45-59 min)61$101$565
Vitamin B-12 level test49$15$76
Folic acid level test47$14$73
Administration of chemotherapy into vein, 1 hour or less46$82$707
Microscopic examination for white blood cells with manual cell count41$4$22
Complete blood count (CBC), automated41$6$34
PSA test (prostate cancer screening)39$18$94
Uric acid level test39$4$25
Carcinoembryonic antigen (cea) protein level38$19$99
Telephone medical discussion with physician, 11-20 minutes37$55$231
Red blood count automated, with additional calculations35$5$26
C-reactive protein test (inflammation marker)29$5$33
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less29$40$313
Drug injection, under skin or into muscle28$8$96
Thyroid stimulating hormone (TSH) test26$16$80
New patient office visit (30-44 min)20$73$372
Telephone medical discussion with physician, 21-30 minutes20$78$327
Infusion, normal saline solution , 1000 cc18$2$19
Prothrombin time test (blood clotting)16$4$30
Telephone medical discussion with physician, 5-10 minutes16$25$143
Coagulation assessment blood test, plasma or whole blood15$6$52
Flow cytometry technique for dna or cell analysis, first marker15$53$298
Infusion into a vein for hydration, each additional hour15$8$75
Protein measurement, serum13$11$99
Immunologic analysis technique on serum (immunofixation)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. A higher procedure volume generally indicates more experience with that procedure.
1.4% high complexity
44.5% medium
54.1% 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
14
Companies
28
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$677 (64.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$379 (35.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

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

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
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 total 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? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (64%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $12 per 100 Medicare services performed
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 within 10 mi
16
Per 100K population
30.1
County median income
$67,927
Nearest hospital
PETERSON REGIONAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

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

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Gonzalez experienced with darbepoetin injection (aranesp) for anemia?
Based on Medicare claims data, Dr. Gonzalez performed 3,275 darbepoetin injection (aranesp) for anemia services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gonzalez receive payments from pharmaceutical companies?
Yes. Dr. Gonzalez received a total of $1,056 from 14 companies across 28 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gonzalez's costs compare to other physician assistants in Kerrville?
Dr. 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 Dr. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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. Payments from industry are legal and do not indicate wrongdoing. 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 →