Ruby Annette Gomez , MSN, APRN, FNP-BC
Nurse Practitioner - Family โข Austin, TX
6204 Balcones Dr
Austin, TX 787314214
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Ruby Gomez is listed in NPPES under Nurse Practitioner - Family.
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NPI assigned on April 11, 2018; this date does not establish years in practice.
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Published CMS data list 436 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 207 service units.
- 80053 โ Blood test, comprehensive group of blood chemicals: 65 service units.
- 85025 โ Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count: 64 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 53 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ondansetron Odt (Ondansetron) โ 18 prescription fills, including refills.
- Fluconazole โ 12 prescription fills, including refills.
- Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner - Family in Austin, TX (2024, 333 clinicians with data). Median for this group: 266. Middle half: 77 to 726.
More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 7,721 clinicians with data). Median for this group: 242. Middle half: 85 to 705.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 74 in 2019 to 436 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2024.
Practice Location & Contact Primary Location
6204 Balcones Dr
Austin, TX 787314214
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Weslaco, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Texas Oncology Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Nurse Practitioner - Family: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
163 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $27,634 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $22,096 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
55 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$601 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $4,500.44 across 52 records.
By nature of payment
- Food and Beverage: $3,959.16 across 45 records.
- Education: $539.03 across 6 records.
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $2.25 across 1 record.
Reporting-company totals (3 largest of 18)
- Janssen Pharmaceuticals, Inc: $729.34 across 12 records.
- AstraZeneca Pharmaceuticals LP: $517.61 across 5 records.
- Eli Lilly and Company: $487.73 across 5 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Ruby Gomez has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Ruby Gomez as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Austin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner - Family in Austin, TX (2024, 333 clinicians with data). Median for this group: 266. Middle half: 77 to 726.
More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 7,721 clinicians with data). Median for this group: 242. Middle half: 85 to 705.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner - Family in Austin, TX (2024, 333 clinicians with data). Median for this group: $18,367. Middle half: $5,733 to $50,770.
A higher Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 7,721 clinicians with data). Median for this group: $16,783. Middle half: $6,172 to $40,988.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner - Family in Austin, TX (2024, 333 clinicians with data). Median for this group: $12,933. Middle half: $4,238 to $37,597.
A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 7,721 clinicians with data). Median for this group: $12,120. Middle half: $4,466 to $30,432.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under Nurse Practitioner - Family in Austin, TX (2024, 371 clinicians with data). Median for this group: 239. Middle half: 68 to 979.
Fewer Part D prescriptions than 80% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 9,969 clinicians with data). Median for this group: 357. Middle half: 83 to 1,366.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner - Family in Austin, TX (2024, 371 clinicians with data). Median for this group: $10,895. Middle half: $1,030 to $83,791.
A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner - Family in Texas (2024, 9,969 clinicians with data). Median for this group: $15,967. Middle half: $1,074 to $125,277.
876 active clinicians are listed under Nurse Practitioner - Family with a practice address in Austin, TX (21,278 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austin
17% of these 876 clinicians have the CMS telehealth indicator.
45.4% of these 876 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 489% from 74 in 2019 to 436 in 2024.
- 2019: 74
- 2020: 95
- 2022: 81
- 2023: 49
- 2024: 436
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Medicare-allowed amount
Medicare-allowed amount increased 451% from $5,015 in 2019 to $27,634 in 2024.
- 2019: $5,015
- 2020: $6,458
- 2022: $5,099
- 2023: $4,750
- 2024: $27,634
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Paid by Medicare
Paid by Medicare increased 453% from $3,996 in 2019 to $22,096 in 2024.
- 2019: $3,996
- 2020: $5,096
- 2022: $3,929
- 2023: $3,159
- 2024: $22,096
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 89% from 467 in 2020 to 53 in 2024.
- 2020: 467
- 2021: 953
- 2022: 1,429
- 2023: 1,928
- 2024: 53
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30-day fills
30-day fills decreased 92% from 733 in 2020 to 55 in 2024.
- 2020: 733
- 2021: 1,838
- 2022: 3,117
- 2023: 4,119
- 2024: 55
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Part D drug cost
Part D drug cost decreased 92% from $7,371 in 2020 to $601 in 2024.
- 2020: $7,371
- 2021: $71,915
- 2022: $189,277
- 2023: $330,018
- 2024: $601
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 176% from $1,628.95 in 2021 to $4,500.44 in 2025.
- 2021: $1,628.95
- 2022: $1,364.10
- 2023: $2,553.48
- 2024: $3,097.42
- 2025: $4,500.44
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 52 records totaling $4,500.44.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
WAYRILZ | General | $147.99 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
RYBREVANT | General | $140.14 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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ALTUVIIIO | General | $137.76 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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RYBREVANT | General | $137.33 |
| Daiichi Sankyo Inc. |
Food and Beverage
In-kind items and services
|
Vanflyta | General | $136.01 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
RYBREVANT | General | $128.28 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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EPKINLY | General | $125.00 |
| SOBI, INC |
Food and Beverage
In-kind items and services
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Vonjo | General | $124.98 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
Monjuvi | General | $124.98 |
| Fennec Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
Pedmark | General | $124.97 |
| Immunocore Limited |
Food and Beverage
In-kind items and services
|
KIMMTRAK | General | $124.71 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
LORBRENA | General | $124.17 |
| Daiichi Sankyo Inc. |
Food and Beverage
In-kind items and services
|
Enhertu | General | $122.75 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
DATROWAY | General | $121.86 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
|
โ | General | $121.86 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
IMFINZI | General | $121.86 |
| Fennec Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
Pedmark | General | $121.84 |
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
|
โ | General | $121.82 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
ENHERTU | General | $121.82 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Padcev | General | $121.82 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
BRAFTOVI | General | $121.35 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
|
Monjuvi | General | $120.13 |
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $116.15 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
LIBTAYO | General | $116.15 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
RYBREVANT | General | $112.64 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
207 | 142 | $368.00 | $105.69 |
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80053
Blood test, comprehensive group of blood chemicals
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65 | 41 | $64.00 | $9.94 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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64 | 42 | $36.00 | $7.31 |
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36415
Insertion of needle into vein for collection of blood sample
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58 | 37 | $20.00 | $8.65 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
26 | 22 | $250.00 | $77.43 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
16 | 15 | $496.00 | $132.97 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ondansetron Odt | Ondansetron | 18 | 185 | $239.84 | 17 |
| Fluconazole | Fluconazole | 12 | 209 | $117.61 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | 82 | $171.36 | 12 |
| Mupirocin | Mupirocin | 11 | 168 | $72.17 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-03-07NUCC Taxonomy Code: 363LF0000X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20190205001170
TX
2163760885
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Texas Oncology Pa
13915 N Mopac Expy, Austin, TX 78728
Phone: 5122410017
Secondary Practice Locations
1401 E 8th St
Weslaco, TX 785966640
Phone: 8338874863
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Clinical Nurse Specialist - Adult Health
Advanced Practice Registered Nurse
Surgery - Surgical Oncology
Doctor of Medicine (M.D.)
Internal Medicine - Hematology & Oncology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Social Worker - Clinical
Licensed Clinical Social Worker
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 6204 BALCONES DR, AUSTIN, TX 787314214 (Tel: 5124279400)
Registered at PO BOX 911230, DALLAS, TX 753913989 (Tel: 9729978000)
Registered at 1401 E 8TH ST, WESLACO, TX 785966640 (Tel: 8338874863)
Registered at 1012 E DOVE AVE APT 3, MCALLEN, TX 785043989 (Tel: 9563255254)
Registered at 1012 E DOVE AVE APT 3, MCALLEN, TX 785043989 (Tel: 9563255254)
Nurse Practitioner (license number reported to NPPES: TX AP136882)
NPI status registered as active in NPPES database
Registered at 8215 N 22ND LN, MCALLEN, TX 785045757 (Tel: 9563255254)
Registered at 8215 N 22ND LN, MCALLEN, TX 785045757 (Tel: 9563255254)
Recorded as RUBY GOMEZ, MSN, APRN, FNP-BC
Family Medicine (license number reported to NPPES: TX AP136882)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioner - Family Specialists in Austin
- Sarah Carson, MSN, FNP-C
- Elizabeth Taylor, NP
- Christy Babis, NP
- Ashley Carter, NP
- Kenyatta Jones, FNP
- Whitney Halamuda, APN
Mailing Address
Po Box 911230
Dallas, TX 753913989
Phone: 9729978000