Gamez, Justin

Gamez, Justin was paid $18K by Medicaid between Oct 2020 and Feb 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoGAMEZ, JUSTIN
ASHBURN, VA 20148

33aNPI1003296625assigned 06/09/2015

33bProvider typeObstetrics & Gynecology Physician

28Total paid$18K

24GClaims474

24DCodes billed4

24AFirst – last monthOct 2020 – Feb 2022

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Virginia

Rank by total paid#92 of 243

Median peer was paid$8K

This provider vs. median2.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	62	$3K
2021	363	$13K
2022	49	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	71%	251	244	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	153	143	$5K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.7%	13	13	$299.00
81025		0%	57	55	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.