Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $1,613 | 46 | 73.1% |
| Travel and Lodging | $593.26 | 2 | 26.9% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| KCI USA, Inc. | $981.08 | 5 | $0 (2023) |
| Smith+Nephew, Inc. | $353.62 | 26 | $0 (2023) |
| AstraZeneca Pharmaceuticals LP | $143.33 | 2 | $0 (2024) |
| Sage Therapeutics, Inc. | $120.00 | 1 | $0 (2023) |
| ABIOMED | $105.26 | 1 | $0 (2024) |
| Medline Industries LP | $86.15 | 1 | $0 (2024) |
| GENZYME CORPORATION | $83.46 | 1 | $0 (2024) |
| Sumitomo Pharma America, Inc. | $72.26 | 1 | $0 (2023) |
| Solventum Corporation | $54.00 | 1 | $0 (2024) |
| ConvaTec Inc. | $52.24 | 2 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $481.74 | 9 | ABIOMED ($105.26) |
| 2023 | $1,372 | 17 | KCI USA, Inc. ($981.08) |
| 2022 | $206.51 | 16 | Smith+Nephew, Inc. ($159.76) |
| 2021 | $145.84 | 6 | AstraZeneca Pharmaceuticals LP ($67.29) |
All Payment Transactions
48 individual payment records from CMS Open Payments — Page 1 of 2
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/08/2024 | MIMEDX Group, Inc. | — | Food and Beverage | In-kind items and services | $17.83 | General |
| 11/07/2024 | GENZYME CORPORATION | FABRAZYME (Biological) | Food and Beverage | In-kind items and services | $83.46 | General |
| Category: Genetic Disease | ||||||
| 10/22/2024 | AstraZeneca Pharmaceuticals LP | AIRSUPRA (Drug) | Food and Beverage | In-kind items and services | $76.04 | General |
| Category: Respiratory | ||||||
| 10/11/2024 | Integra LifeSciences Corporation | TCC-EZ (Device) | Food and Beverage | In-kind items and services | $13.75 | General |
| Category: Recon-Skin and Wound | ||||||
| 06/07/2024 | Solventum Corporation | V.A.C. DERMATAC (Device), V.A.C. VERAFLO, V.A.C. VERAFLO CLEANSE CHOICE | Food and Beverage | Cash or cash equivalent | $54.00 | General |
| Category: Dressings & Drapes | ||||||
| 06/05/2024 | Medline Industries LP | Medline (Device) | Food and Beverage | In-kind items and services | $86.15 | General |
| Category: Dermatology/Wound Care | ||||||
| 05/21/2024 | ABIOMED | Impella (Device) | Food and Beverage | Cash or cash equivalent | $105.26 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 02/09/2024 | HARTMANN USA, INC. | ZETUVIT PLUS 10X10 P10 (Device) | Food and Beverage | In-kind items and services | $18.73 | General |
| Category: Wound Care | ||||||
| 02/02/2024 | ConvaTec Inc. | INNOVAMATRIX AC (Device) | Food and Beverage | In-kind items and services | $26.52 | General |
| Category: ADVANCED WOUND CARE | ||||||
| 12/12/2023 | Smith+Nephew, Inc. | COLLAGENASE SANTYL (Drug) | Food and Beverage | In-kind items and services | $6.57 | General |
| Category: Pharma Products | ||||||
| 12/08/2023 | KCI USA, Inc. | 3M Cavilon (Device), 3M Coban, ACTIV.A.C. | Travel and Lodging | Cash or cash equivalent | $383.11 | General |
| Category: Skin Integrity | ||||||
| 12/08/2023 | Smith+Nephew, Inc. | COLLAGENASE SANTYL (Drug) | Food and Beverage | In-kind items and services | $22.51 | General |
| Category: Pharma Products | ||||||
| 11/09/2023 | Smith+Nephew, Inc. | COLLAGENASE SANTYL (Drug) | Food and Beverage | In-kind items and services | $23.78 | General |
| Category: Pharma Products | ||||||
| 10/14/2023 | KCI USA, Inc. | Cavilon (Device), 3M Coban, V.A.C. DERMATAC | Travel and Lodging | Cash or cash equivalent | $210.15 | General |
| Category: Skin Integrity | ||||||
| 10/14/2023 | KCI USA, Inc. | Cavilon (Device), 3M Coban, V.A.C. DERMATAC | Food and Beverage | Cash or cash equivalent | $156.36 | General |
| Category: Skin Integrity | ||||||
| 10/14/2023 | KCI USA, Inc. | Cavilon (Device), 3M Coban, V.A.C. DERMATAC | Food and Beverage | Cash or cash equivalent | $124.48 | General |
| Category: Skin Integrity | ||||||
| 10/14/2023 | KCI USA, Inc. | Cavilon (Device), 3M Coban, V.A.C. DERMATAC | Food and Beverage | Cash or cash equivalent | $106.98 | General |
| Category: Skin Integrity | ||||||
| 09/01/2023 | Smith+Nephew, Inc. | COLLAGENASE SANTYL (Drug) | Food and Beverage | In-kind items and services | $15.00 | General |
| Category: Pharma Products | ||||||
| 08/26/2023 | Smith+Nephew, Inc. | COLLAGENASE SANTYL (Drug) | Food and Beverage | In-kind items and services | $16.42 | General |
| Category: Pharma Products | ||||||
| 08/15/2023 | Smith+Nephew, Inc. | COLLAGENASE SANTYL (Drug) | Food and Beverage | In-kind items and services | $7.99 | General |
| Category: Pharma Products | ||||||
| 07/28/2023 | Aroa Biosurgery Incorporated | — | Food and Beverage | Cash or cash equivalent | $22.64 | General |
| 07/21/2023 | Smith+Nephew, Inc. | COLLAGENASE SANTYL (Drug) | Food and Beverage | In-kind items and services | $20.56 | General |
| Category: Pharma Products | ||||||
| 05/26/2023 | Kerecis Limited | Kerecis Omega3 SurgiClose (Device), Kerecis Omega3 GraftGuide, Kerecis Omega3 SurgiClose | Food and Beverage | Cash or cash equivalent | $45.55 | General |
| Category: Wound Care | ||||||
| 05/09/2023 | Sage Therapeutics, Inc. | — | Food and Beverage | In-kind items and services | $120.00 | General |
| 03/16/2023 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $72.26 | General |
| Category: Urology | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 3 | 89 | 201 | $18,748 | $7,091 |
| 2022 | 4 | 113 | 274 | $18,655 | $7,256 |
| 2021 | 6 | 169 | 383 | $31,285 | $11,999 |
| 2020 | 8 | 231 | 439 | $40,000 | $13,963 |
All Medicare Procedures & Services
22 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 37 | 72 | $8,252 | $2,732 | 33.1% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2023 | 35 | 112 | $6,921 | $2,548 | 36.8% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Facility | 2023 | 17 | 17 | $3,575 | $1,812 | 50.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 35 | 71 | $6,745 | $2,883 | 42.7% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Facility | 2022 | 47 | 122 | $7,320 | $2,668 | 36.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 19 | 31 | $4,340 | $1,542 | 35.5% |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | Office | 2022 | 12 | 50 | $250.00 | $162.26 | 64.9% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Facility | 2021 | 48 | 101 | $9,595 | $4,330 | 45.1% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Facility | 2021 | 59 | 165 | $9,900 | $3,709 | 37.5% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Facility | 2021 | 17 | 21 | $2,940 | $1,413 | 48.1% |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | Facility | 2021 | 12 | 15 | $6,150 | $1,348 | 21.9% |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | Facility | 2021 | 17 | 27 | $2,430 | $1,022 | 42.0% |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | Office | 2021 | 16 | 54 | $270.00 | $177.12 | 65.6% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Facility | 2020 | 81 | 226 | $21,470 | $7,316 | 34.1% |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | Facility | 2020 | 11 | 16 | $6,560 | $1,730 | 26.4% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Facility | 2020 | 26 | 31 | $4,340 | $1,553 | 35.8% |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | Facility | 2020 | 24 | 32 | $1,600 | $1,085 | 67.8% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Facility | 2020 | 16 | 16 | $2,320 | $720.77 | 31.1% |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | Facility | 2020 | 23 | 40 | $2,400 | $711.60 | 29.7% |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | Facility | 2020 | 21 | 30 | $750.00 | $480.19 | 64.0% |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | Office | 2020 | 16 | 16 | $400.00 | $261.81 | 65.5% |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | Office | 2020 | 13 | 32 | $160.00 | $104.68 | 65.4% |
About Elma Lourdes Gacoscos, APRN-BC
Elma Lourdes Gacoscos, APRN-BC is a Family healthcare provider based in Flint, Michigan. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/15/2010. The National Provider Identifier (NPI) number assigned to this provider is 1255649919.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Elma Lourdes Gacoscos, APRN-BC has received a total of $2,206 in payments from pharmaceutical and medical device companies, with $481.74 received in 2024. These payments were reported across 48 transactions from 16 companies. The most common payment nature is "Food and Beverage" ($1,613).
As a Medicare-enrolled provider, Gacoscos has provided services to 602 Medicare beneficiaries, totaling 1,297 services with total Medicare billing of $40,310. Data is available for 4 years (2020–2023), covering 22 distinct procedure/service records.
Practice Information
- Specialty Family
- Location Flint, MI
- Active Since 09/15/2010
- Last Updated 08/21/2012
- Taxonomy Code 363LF0000X
- Entity Type Individual
- NPI Number 1255649919
Products in Payments
- Cavilon (Device) $597.97
- 3M Cavilon (Device) $383.11
- COLLAGENASE SANTYL (Drug) $334.37
- Impella (Device) $105.26
- Medline (Device) $86.15
- FABRAZYME (Biological) $83.46
- AIRSUPRA (Drug) $76.04
- GEMTESA (Drug) $72.26
- V.A.C. DERMATAC (Device) $54.00
- Kerecis Omega3 SurgiClose (Device) $45.55
- INNOVAMATRIX AC (Device) $26.52
- CONVATEC INC. (Medical Supply) $25.72
- ZETUVIT PLUS 10X10 P10 (Device) $18.73
- HYDROFERA BLUE (Device) $14.92
- TCC-EZ (Device) $13.75
- PROFORE (Device) $11.75
- GRAFIX PL (Medical Supply) $7.50
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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