Family Medicine · Castroville, TX
NPI
1306833173
Since 2005
Specialty
Family Medicine
Code 207Q00000X
Group practices
1
Medicare group memberships
Hospitals
3
Hospital affiliations
409 Madrid St
Castroville, TX, 78009
Phone (830) 538-2254
Groups this clinician bills Medicare through
Medicare paid, 2024
$59K
1,261 services
Medicare patients, 2024
129
Average age 76
Drug cost, 2024
$13.0M
63,994 prescriptions
Company payments, 2025
$1,213
From 15 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Lloyd P Vanwinkle was code 99214 (office e&m - established), 311 times for 114 patients. In total Lloyd P Vanwinkle billed 1,261 services in 43 codes, and Medicare paid $59K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2015-08-06.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Office | 311 | 114 | $80.67 | $25K |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 261 | 108 | $11.15 | $2,909 |
| 99490 Chronic, Principal, and Transitional Care Management | Office | 133 | 39 | $47.70 | $6,344 |
| 99213 Office E&M - Established | Office | 90 | 57 | $52.08 | $4,687 |
| G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 55 | 55 | $110.50 | $6,078 |
| G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | Office | 55 | 55 | $24.17 | $1,329 |
| 99497 Care Management/Coordination | Office | 53 | 53 | $78.30 | $4,150 |
| G0442 Annual alcohol misuse screening, 5 to 15 minutes | Office | 53 | 53 | $14.70 | $779 |
| G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | Office | 47 | 47 | $44.95 | $2,113 |
| G0444 Annual depression screening, 5 to 15 minutes | Office | 38 | 38 | $9.80 | $372 |
| 36415 Venipuncture Blood Collection | Office | 17 | 13 | $2.94 | $49.98 |
| 96127 Behavioral Health Services | Office | 14 | 14 | $3.20 | $44.85 |
| G0447 Face-to-face behavioral counseling for obesity, 15 minutes | Office | 14 | 14 | $14.70 | $206 |
By year: 2022 $69K for 1,280 services; 2023 $77K for 1,388 services; 2024 $59K for 1,261 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 36415 Venipuncture Blood Collection | 17 | 13 | $2.94 | $49.98 |
Medicare prescription drug claims, 2024
In 2024, the drug Lloyd P Vanwinkle prescribed most often to Medicare patients was Shingrix (Varicella-Zoster Ge/As01b/Pf), with 25,807 prescriptions and refills. In total Lloyd P Vanwinkle wrote 63,994 Medicare prescriptions that cost $13.0M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Shingrix Varicella-Zoster Ge/As01b/Pf | 25,807 | 25,818 | 19,453 | $5.4M |
| Abrysvo Rsv Vacc, Pref A And Pref B/Pf | 21,474 | 21,474 | 21,347 | $6.4M |
| Boostrix Tdap Diphth,pertuss(Acell),tet Vac | 9,283 | 9,283 | 9,259 | $574K |
| Twinrix Hepatitis A And B Vaccine/Pf | 762 | 762 | 460 | $105K |
| Atorvastatin Calcium Generic | 321 | 892 | 87 | $2,390 |
| Levothyroxine Sodium Generic | 282 | 716 | 79 | $3,072 |
| Amlodipine Besylate Generic | 278 | 704 | 67 | $1,573 |
| Havrix Hepatitis A Virus Vaccine/Pf | 213 | 213 | 201 | $21K |
| Lisinopril Generic | 169 | 448 | 45 | $1,394 |
| Rosuvastatin Calcium Generic | 151 | 372 | 57 | $1,402 |
| Carvedilol Generic | 150 | 354 | 35 | $1,206 |
| Losartan Potassium Generic | 147 | 411 | 43 | $1,545 |
| M-M-R Ii Vaccine Measles,mumps,rubella Vacc/Pf | 139 | 139 | 124 | $15K |
| Naloxone Hcl Generic | 135 | 135 | 131 | $8,856 |
| Metformin Hcl Generic | 125 | 351 | 45 | $1,028 |
Brand drugs: 58,760 claims; generic drugs: 5,173 claims; opioid claims: 77.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Lloyd P Vanwinkle $1,213 ($1,213 in general payments such as food, travel and fees) from 15 companies. The largest payer was Abbvie Inc. with $318.
| Company | Payments | Amount |
|---|---|---|
| Abbvie Inc. ABBV | 21 | $318 |
| Novo Nordisk Inc NVO | 12 | $221 |
| Bayer Healthcare Pharmaceuticals Inc. BAYN.DE | 8 | $146 |
| Corium, LLC | 4 | $76.82 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) JNJ | 3 | $73.79 |
| Lundbeck LLC | 3 | $58.1 |
| ALK-Abello, Inc | 2 | $54.54 |
| Lilly USA, LLC LLY | 3 | $50.65 |
| Pfizer Inc. PFE | 3 | $46.22 |
| GlaxoSmithKline, LLC. GSK | 3 | $45.66 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.