Physician
Gomez Hernandez, Juan
Gomez Hernandez, Juan was paid $10.00 by Medicaid between Jan 2018 and Jun 2019, across 14 billing codes. Its largest line is 3048F, — 100% of everything it billed.
33Billing provider infoGOMEZ HERNANDEZ, JUAN
YABUCOA, PR 00767
YABUCOA, PR 00767
33aNPI1063521912assigned 08/30/2006
33bProvider typeGeneral Practice Physician
28Total paid$10.00
24GClaims1,609
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#931 of 1,195
Median peer was paid$2K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 897 | $10.00 | |
| 2019 | 712 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 3048F | 100% | 41 | 32 | $10.00 | |
| 3074F | 0% | 72 | 50 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 237 | 160 | $0.00 |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 52 | 28 | $0.00 |
| 1170F | 0% | 173 | 137 | $0.00 | |
| 3008F | 0% | 63 | 39 | $0.00 | |
| 1125F | 0% | 17 | 15 | $0.00 | |
| 1126F | 0% | 82 | 66 | $0.00 | |
| 3078F | 0% | 99 | 71 | $0.00 | |
| 0521F | 0% | 88 | 79 | $0.00 | |
| 96160 | 0% | 189 | 121 | $0.00 | |
| 1159F | 0% | 207 | 166 | $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.