Gamss, Benjamin
Gamss, Benjamin was paid $1.57M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.
33Billing provider infoGAMSS, BENJAMIN
BROOKLYN, NY 11229
BROOKLYN, NY 11229
33aNPI1205886314assigned 05/11/2006
33bProvider typeOptometrist
28Total paid$1.57M
24GClaims30,513
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#46 of 1,605
Median peer was paid$29K
This provider vs. median54×
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 | 4,571 | $214K | |
| 2019 | 4,297 | $201K | |
| 2020 | 4,755 | $212K | |
| 2021 | 5,420 | $263K | |
| 2022 | 4,014 | $228K | |
| 2023 | 4,547 | $259K | |
| 2024incomplete | 2,909 | $193K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 5,771 | 5,707 | $453K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 4,558 | 4,491 | $313K |
| 92015 | Determination of refractive state | 20% | 6,592 | 6,275 | $310K |
| 92081 | 14% | 6,070 | 6,053 | $213K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.9% | 2,446 | 2,243 | $123K |
| 92283 | 3.8% | 2,214 | 2,208 | $60K | |
| 92002 | 3.2% | 1,074 | 1,068 | $51K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 520 | 520 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 747 | 684 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 160 | 152 | $2K |
| 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% | 25 | 25 | $1K |
| 99201 | <1% | 32 | 32 | $850.56 |
1 more codes
| 3072F | 0% | 304 | $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.