Gomez, Harold
Gomez, Harold was paid $825K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 44% of everything it billed.
33Billing provider infoGOMEZ, HAROLD
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1083619753assigned 06/17/2005
33bProvider typeLicensed Practical Nurse
28Total paid$825K
24GClaims13,997
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Licensed Practical Nurse providers in California
Rank by total paid#1 of 5
Median peer was paid$38K
This provider vs. median22×
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 | 2,134 | $114K | |
| 2019 | 1,285 | $75K | |
| 2020 | 1,362 | $79K | |
| 2021 | 2,767 | $176K | |
| 2022 | 1,584 | $89K | |
| 2023 | 3,027 | $182K | |
| 2024incomplete | 1,838 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 44% | 3,658 | 3,657 | $361K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 34% | 4,338 | 4,336 | $284K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 430 | 430 | $133K |
| 99000 | 2.1% | 4,669 | 4,667 | $17K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.5% | 68 | 68 | $13K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 1.2% | 782 | 782 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 52 | 52 | $7K |
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.