Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gonzalez Yanes, Omar

Gonzalez Yanes, Omar was paid $5K by Medicaid between Jul 2021 and Oct 2024, across 10 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 60% of everything it billed.

33Billing provider infoGONZALEZ YANES, OMAR
SAN JUAN, PR 00917
33aNPI1073590691assigned 12/23/2005
33bProvider typeOtolaryngology Physician
28Total paid$5K
24GClaims410
24DCodes billed10
24AFirst – last monthJul 2021 – Oct 2024
Compared with peers

Next to other Otolaryngology Physician providers in Puerto Rico

Rank by total paid#23 of 29
Median peer was paid$79K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
2021264$2K
2024incomplete146$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 60% 28 26 $3K
99070 27% 52 51 $1K
99241 13% 12 12 $595.50
1124F 0% 78 73 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 88 83 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 23 17 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 26 26 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 64 59 $0.00
G2197 Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user 0% 19 16 $0.00
1036F 0% 20 16 $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.