WILSON GOMER M.D. PROFESSIONAL MEDICAL CORPORATION
NPI: 1104327543
· SAN BERNARDINO, CA 92411
· Health Service Clinic/Center
· NPI assigned 02/21/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | GOMER, WILSON (PRESIDENT) |
| NPI Enumeration Date | 02/21/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
186 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 3008F |
|
62 |
62 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
65 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
59 |
59 |
$0.00 |