Treatment Tracker

The Doctors and Services in Medicare Part B

Treatment Tracker » Texas » San antonio

JAVIER ROMAN-GONZALEZ M.D.

6800 W IH 10 SUITE 350, SAN ANTONIO, TX, 78201 | (210) 615-0494

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $344 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
1,104
Rank: 28th
out of 129 providers in this state & specialty
Services
Performed
9,036
Rank: 4th
out of 129 providers in this state & specialty
Avg Services
Per Patient
8.2 This Provider is in the top 10%
Avg 4.4
Total Paid
by Medicare
$594K
Rank: 3rd
out of 129 providers in this state & specialty
Avg Paid
Per Patient
$538 This Provider is in the top 10%
Avg $344

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 71 different services in 2015
(31 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
MEDICINE

Remote evaluations of defibrillator transmissions, techni... +

Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days ×

Service Code: 93296
Performed in an office
1,256
times performed,
14% of his services

1st 3rd

most performed service for this provider most performed service in this state & specialty

437
patients got this service, 40% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2)
$101,736.00an average of $81.00 per time performed $23,210.88
an average of $18.48 per time performed
medical
MEDICINE

Remote evaluations of implantable heart monitoring system... +

Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days ×

Service Code: 93297
Performed in an office
867
times performed,
10% of his services

2nd 10th

most performed service for this provider most performed service in this state & specialty

121
patients got this service, 11% of his patients
7.2
average number of visits a patient made for this service
(Peers: 2.6)
$57,222.00an average of $66.00 per time performed $16,707.09
an average of $19.27 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
862
times performed,
10% of his services

3rd 2nd

most performed service for this provider most performed service in this state & specialty

617
patients got this service, 56% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$222,396.00an average of $258.00 per time performed $62,813.94
an average of $72.87 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
787
times performed,
9% of his services

4th 1st

most performed service for this provider most performed service in this state & specialty

474
patients got this service, 43% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$39,350.00an average of $50.00 per time performed $9,113.46
an average of $11.58 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
749
times performed,
8% of his services

5th 24th

most performed service for this provider most performed service in this state & specialty

493
patients got this service, 45% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$260,105.23an average of $347.27 per time performed $74,997.37
an average of $100.13 per time performed
medical
MEDICINE

Remote evaluations of single, dual, or multiple lead pace... +

Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days ×

Service Code: 93294
Performed in an office
653
times performed,
7% of his services

6th 9th

most performed service for this provider most performed service in this state & specialty

291
patients got this service, 26% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.9)
$57,464.00an average of $88.00 per time performed $16,298.88
an average of $24.96 per time performed
medical
MEDICINE

Remote evaluations of implantable heart recorder system i... +

Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days ×

Service Code: 93299
Performed in an office
631
times performed,
7% of his services

7th 13th

most performed service for this provider most performed service in this state & specialty

120
patients got this service, 11% of his patients
5.3
average number of visits a patient made for this service
(Peers: 3.6)
$73,196.00an average of $116.00 per time performed $17,731.10
an average of $28.10 per time performed
medical
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report ×

Service Code: 93280
Performed in an office
471
times performed,
5% of his services

8th 6th

most performed service for this provider most performed service in this state & specialty

315
patients got this service, 29% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$73,476.00an average of $156.00 per time performed $18,717.54
an average of $39.74 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
463
times performed,
5% of his services

9th 8th

most performed service for this provider most performed service in this state & specialty

189
patients got this service, 17% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.1)
$81,488.00an average of $176.00 per time performed $25,622.42
an average of $55.34 per time performed
medical
MEDICINE

Remote evaluations of defibrillator up to 90 days with an... +

Remote evaluations of defibrillator up to 90 days with analysis, review and report ×

Service Code: 93295
Performed in an office
454
times performed,
5% of his services

10th 7th

most performed service for this provider most performed service in this state & specialty

153
patients got this service, 14% of his patients
3
average number of visits a patient made for this service
(Peers: 1.9)
$78,542.00an average of $173.00 per time performed $23,054.12
an average of $50.78 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93284
Performed in an office
199
times performed,
2% of his services

11th 11th

most performed service for this provider most performed service in this state & specialty

112
patients got this service, 10% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$47,362.00an average of $238.00 per time performed $12,761.87
an average of $64.13 per time performed
medical
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93224
Performed in an office
151
times performed,
2% of his services

12th 52nd

most performed service for this provider most performed service in this state & specialty

146
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$39,411.00an average of $261.00 per time performed $8,874.27
an average of $58.77 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
149
times performed,
2% of his services

13th 15th

most performed service for this provider most performed service in this state & specialty

142
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$73,308.00an average of $492.00 per time performed $23,068.18
an average of $154.82 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93283
Performed in an office
119
times performed,
1% of his services

14th 12th

most performed service for this provider most performed service in this state & specialty

75
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$25,520.74an average of $214.46 per time performed $6,854.40
an average of $57.60 per time performed
medical
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report ×

Service Code: 93279
Performed in an office
94
times performed,
1% of his services

15th 28th

most performed service for this provider most performed service in this state & specialty

70
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$12,455.94an average of $132.51 per time performed $3,005.18
an average of $31.97 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
91
times performed,
1% of his services

16th 33rd

most performed service for this provider most performed service in this state & specialty

91
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$45,318.00an average of $498.00 per time performed $13,680.03
an average of $150.33 per time performed
medical
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report ×

Service Code: 93280
Performed in a facility
90
times performed,
1% of his services

17th 21st

most performed service for this provider most performed service in this state & specialty

81
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$9,270.00an average of $103.00 per time performed $2,682.90
an average of $29.81 per time performed
medical
MEDICINE

Insertion of catheters for 3d mapping of electrical impul... +

Insertion of catheters for 3d mapping of electrical impulses to heart muscles ×

Service Code: 93613
Performed in a facility
73
times performed,
0.81% of his services

18th 22nd

most performed service for this provider most performed service in this state & specialty

72
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$75,993.00an average of $1,041.00 per time performed $22,486.19
an average of $308.03 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in a facility
69
times performed,
0.76% of his services

19th 39th

most performed service for this provider most performed service in this state & specialty

62
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$11,761.05an average of $170.45 per time performed $2,612.34
an average of $37.86 per time performed
medical
MEDICINE

Evaluation of single or dual chamber pacing cardioverter-... +

Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement ×

Service Code: 93641
Performed in a facility
57
times performed,
0.63% of his services

20th 42nd

most performed service for this provider most performed service in this state & specialty

57
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$80,199.00an average of $1,407.00 per time performed $7,412.85
an average of $130.05 per time performed
medical
MEDICINE

External shock to heart to regulate heart beat

Service Code: 92960
Performed in a facility
57
times performed,
0.63% of his services

21st 32nd

most performed service for this provider most performed service in this state & specialty

56
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$18,525.00an average of $325.00 per time performed $5,404.74
an average of $94.82 per time performed
medical
MEDICINE

Ultrasound evaluation of heart blood vessel

Service Code: 93662
Performed in a facility
54
times performed,
0.6% of his services

22nd 31st

most performed service for this provider most performed service in this state & specialty

53
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$46,764.00an average of $866.00 per time performed $6,092.28
an average of $112.82 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93284
Performed in a facility
54
times performed,
0.6% of his services

23rd 36th

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$9,018.00an average of $167.00 per time performed $2,579.04
an average of $47.76 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of new or replacement of permanent pacemaker in... +

Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes ×

Service Code: 33208
Performed in a facility
53
times performed,
0.59% of his services

24th 26th

most performed service for this provider most performed service in this state & specialty

53
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$75,048.00an average of $1,416.00 per time performed $21,354.76
an average of $402.92 per time performed
medical

Evaluation and insertion of catheters for recording, paci... +

Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm ×

Service Code: 93656
Performed in a facility
45
times performed,
0.5% of his services

25th 38th

most performed service for this provider most performed service in this state & specialty

44
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$122,985.00an average of $2,733.00 per time performed $39,671.10
an average of $881.58 per time performed
medical

Insertion of catheters for treatment of abnormal heart rh... +

Insertion of catheters for treatment of abnormal heart rhythm ×

Service Code: 93655
Performed in a facility
43
times performed,
0.48% of his services

26th 48th

most performed service for this provider most performed service in this state & specialty

42
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$44,032.00an average of $1,024.00 per time performed $13,656.37
an average of $317.59 per time performed
medical

Evaluation and insertion of catheters for creation of com... +

Evaluation and insertion of catheters for creation of complete heart block ×

Service Code: 93653
Performed in a facility
33
times performed,
0.37% of his services

27th 46th

most performed service for this provider most performed service in this state & specialty

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$67,551.00an average of $2,047.00 per time performed $20,729.61
an average of $628.17 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
28
times performed,
0.31% of his services

28th 4th

most performed service for this provider most performed service in this state & specialty

28
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$4,872.00an average of $174.00 per time performed $1,537.20
an average of $54.90 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion or replacement of single or dual chamber pacing... +

Insertion or replacement of single or dual chamber pacing defibrillator leads ×

Service Code: 33249
Performed in a facility
28
times performed,
0.31% of his services

29th 35th

most performed service for this provider most performed service in this state & specialty

28
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$68,684.00an average of $2,453.00 per time performed $19,203.24
an average of $685.83 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal and replacement of defibrillator pulse generator +

Removal and replacement of defibrillator pulse generator ×

Service Code: 33264
Performed in a facility
28
times performed,
0.31% of his services

30th 79th

most performed service for this provider most performed service in this state & specialty

28
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$27,944.00an average of $998.00 per time performed $8,750.84
an average of $312.53 per time performed
medical
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report ×

Service Code: 93281
Performed in an office
28
times performed,
0.31% of his services

31st 54th

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$5,096.00an average of $182.00 per time performed $1,385.16
an average of $49.47 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of left heart electrode for pacing defibrillato... +

Insertion of left heart electrode for pacing defibrillator device ×

Service Code: 33225
Performed in a facility
27
times performed,
0.3% of his services

32nd 47th

most performed service for this provider most performed service in this state & specialty

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,453.00an average of $1,239.00 per time performed $9,828.27
an average of $364.01 per time performed
medical
MEDICINE

Insertion of catheters for creation of complete heart block +

Insertion of catheters for creation of complete heart block ×

Service Code: 93650
Performed in a facility
26
times performed,
0.29% of his services

33rd 76th

most performed service for this provider most performed service in this state & specialty

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$41,210.00an average of $1,585.00 per time performed $12,182.82
an average of $468.57 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93283
Performed in a facility
18
times performed,
0.2% of his services

34th 45th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$2,718.00an average of $151.00 per time performed $802.98
an average of $44.61 per time performed
medical
MEDICINE

Evaluation of parameters of single, dual, or multiple lea... +

Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection ×

Service Code: 93288
Performed in an office
18
times performed,
0.2% of his services

35th 40th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,800.00an average of $100.00 per time performed $481.14
an average of $26.73 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93282
Performed in an office
15
times performed,
0.17% of his services

36th 30th

most performed service for this provider most performed service in this state & specialty

11
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$2,520.00an average of $168.00 per time performed $624.00
an average of $41.60 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal of permanent pacemaker pulse generator

Service Code: 33233
Performed in a facility
14
times performed,
0.15% of his services

37th 120th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,988.00an average of $642.00 per time performed $1,372.56
an average of $98.04 per time performed
medical
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in a facility
13
times performed,
0.14% of his services

38th 20th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$2,223.00an average of $171.00 per time performed $638.56
an average of $49.12 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal and replacement of dual lead permanent pacemaker ... +

Removal and replacement of dual lead permanent pacemaker pulse generator ×

Service Code: 33228
Performed in a facility
12
times performed,
0.13% of his services

39th 72nd

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,656.00an average of $888.00 per time performed $3,392.76
an average of $282.73 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal of defibrillator electrodes

Service Code: 33244
Performed in a facility
11
times performed,
0.12% of his services

40th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in TX perform this service

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$25,377.00an average of $2,307.00 per time performed $6,062.43
an average of $551.13 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Javier Roman-gonzalez
Average for Clinical Cardiac Electrophysiology Providers in Texas

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.