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

Sergio R. Gomez M.D. INC

Sergio R. Gomez M.D. INC was paid $34K by Medicaid between Jan 2018 and Jun 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.

33Billing provider infoSERGIO R. GOMEZ M.D. INC
POMONA, CA 91767
33aNPI1134325822assigned 06/21/2007
28Total paid$34K
24GClaims1,903
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#966 of 2,511
Median peer was paid$13K
This provider vs. median2.7×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018803$9K
2019469$11K
2020380$11K
202183$3K
202233$1K
202382$189.79
2024incomplete53$216.74
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 93% 1,231 1,203 $32K
G0444 Annual depression screening, 5 to 15 minutes 3.0% 241 205 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1.8% 118 116 $634.78
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.1% 12 12 $380.49
93000 <1% 12 12 $256.68
90688 <1% 12 12 $45.57
1036F 0% 51 51 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 44 44 $0.00
1170F 0% 13 13 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 50 50 $0.00
G8482 Influenza immunization administered or previously received 0% 34 34 $0.00
4040F 0% 34 34 $0.00
2 more codes
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 17 $0.00
2022F 0% 34 $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.

From NPPES

Who's on the registration

Authorized officialGOMEZ, SERGIO (MEDICAL PRESIDENT)