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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Manuel Gonzalez
⚕️
MDIndividual

Manuel Gonzalez, MD, MPH, MBA

NPI: 1639182371
Miami, FL
10 years of data
Peripheral Vascular Disease
$31.1M
Total Payments
13.8K
Beneficiaries
19.9K
Services
4.33x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$31.1M
Specialty median$233.1K

📋 Key Findings

1Billed $31.1M over 10 years
24.33x markup ratio (above median)
399th percentile in Peripheral Vascular Disease by payments
420 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $31.1M in total Medicare payments ranks in the 99th percentile of Peripheral Vascular Disease providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$6.0K$1.4K4.39x$4.6K$4.0M2.5K2.0K
2015$6.4K$1.5K4.14x$4.9K$5.4M3.6K2.4K
2016$6.6K$1.4K4.62x$5.2K$5.5M3.7K2.6K
2017$7.9K$1.6K4.91x$6.3K$3.4M2.5K1.5K
2018$8.8K$1.9K4.58x$6.9K$2.9M1.8K1.2K
2019$9.7K$2.2K4.36x$7.5K$2.2M1.1K808
2020$8.9K$1.9K4.64x$7.0K$2.2M1.2K861
2021$7.9K$1.8K4.33x$6.1K$1.7M982718
2022$5.5K$1.2K4.62x$4.3K$1.5M980693
2023$6.1K$1.4K4.35x$4.7K$2.2M1.5K1.1K

Top Procedures (20)

37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure⚠ 3.7x markup
$13.9M
1.2K services$11.7K/svc3.71x markup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure⚠ 5.2x markup
$6.1M
970 services$6.3K/svc5.22x markup
37231Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure⚠ 5.2x markup
$3.4M
429 services$8.0K/svc5.16x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure⚠ 4.4x markup
$3.0M
399 services$7.4K/svc4.40x markup
36475Destruction of insufficient vein of arm or leg, accessed through the skin⚠ 4.2x markup
$1.5M
1.2K services$1.3K/svc4.17x markup
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure⚠ 3.9x markup
$580.1K
508 services$1.1K/svc3.86x markup
37221Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure⚠ 6.3x markup
$389.6K
176 services$2.2K/svc6.35x markup
93925Ultrasound study of arteries and arterial grafts of both legs⚠ 3.9x markup
$334.1K
1.9K services$177.33/svc3.88x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers⚠ 4.0x markup
$230.3K
1.6K services$146.97/svc4.04x markup
36247Insertion of catheter into abdominal pelvic or leg artery⚠ 6.3x markup
$213.7K
263 services$812.53/svc6.32x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatment⚠ 3.8x markup
$207.3K
202 services$1.0K/svc3.80x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.8x markup
$195.2K
2.2K services$90.58/svc3.75x markup
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation⚠ 3.9x markup
$167.6K
49 services$3.4K/svc3.92x markup
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin⚠ 4.1x markup
$93.3K
343 services$271.91/svc4.10x markup
36471Injection of chemical agent into multiple veins of same leg⚠ 6.3x markup
$80.3K
847 services$94.78/svc6.31x markup
37239Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation⚠ 3.9x markup
$78.0K
47 services$1.7K/svc3.92x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 4.0x markup
$68.5K
391 services$175.11/svc3.98x markup
37223Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure⚠ 3.9x markup
$61.5K
29 services$2.1K/svc3.90x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers⚠ 4.1x markup
$53.5K
548 services$97.63/svc4.07x markup
99152Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes⚠ 4.0x markup
$51.2K
1.2K services$41.00/svc3.97x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure1.2K$13.9M$11.7K3.71x
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure970$6.1M$6.3K5.22x
37231Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure429$3.4M$8.0K5.16x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure399$3.0M$7.4K4.40x
36475Destruction of insufficient vein of arm or leg, accessed through the skin1.2K$1.5M$1.3K4.17x
37233Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure508$580.1K$1.1K3.86x
37221Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure176$389.6K$2.2K6.35x
93925Ultrasound study of arteries and arterial grafts of both legs1.9K$334.1K$177.333.88x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers1.6K$230.3K$146.974.04x
36247Insertion of catheter into abdominal pelvic or leg artery263$213.7K$812.536.32x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment202$207.3K$1.0K3.80x
99214Established patient office or other outpatient, visit typically 25 minutes2.2K$195.2K$90.583.75x
37238Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation49$167.6K$3.4K3.92x
36476Destruction of insufficient vein of arm or leg using imaging guidance, accessed through the skin343$93.3K$271.914.10x
36471Injection of chemical agent into multiple veins of same leg847$80.3K$94.786.31x
37239Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation47$78.0K$1.7K3.92x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function391$68.5K$175.113.98x
37223Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure29$61.5K$2.1K3.90x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers548$53.5K$97.634.07x
99152Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes1.2K$51.2K$41.003.97x

Markup Analysis

Charge-to-Payment Ratio

4.33x

This provider submits charges 4.33 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.33x means for every $100 Medicare pays, this provider initially charges $433. This is higher than the national average.

Location

Miami, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Peripheral Vascular Disease providers in FL for peer comparison.

Manuel Gonzalez (you)
$31.1M
Pablo Guala, M.D.
$46.7M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Pablo Guala, M.D.Hialeah, FL$46.7M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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