Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › San Juan › NPI 1053304279
Physician

Gonzalez, Omayra

Gonzalez, Omayra was paid $1.56M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is Q0084, Chemotherapy administration by infusion technique only, per visit — 39% of everything it billed.

33Billing provider infoGONZALEZ, OMAYRA
SAN JUAN, PR 00936
33aNPI1053304279assigned 08/23/2005
28Total paid$1.56M
24GClaims19,165
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in Puerto Rico

Rank by total paid#7 of 59
Median peer was paid$110K
This provider vs. median14×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2018249$9K
20191,688$102K
20202,632$200K
20213,546$251K
20223,491$294K
20233,551$312K
2024incomplete4,008$389K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q0084 Chemotherapy administration by infusion technique only, per visit 39% 6,304 1,994 $603K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 19% 2,927 1,539 $293K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 5,234 4,142 $289K
96415 15% 2,015 1,118 $231K
96401 2.9% 769 346 $45K
96417 2.5% 795 516 $39K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.2% 363 82 $19K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.2% 363 82 $18K
96416 <1% 108 24 $12K
96367 <1% 240 55 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 13 13 $1K
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 <1% 34 29 $560.08

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.