Physician
Guillermo J Gomez MD INC
Guillermo J Gomez MD INC was paid $295K by Medicaid between Jan 2018 and Aug 2020, across 45 billing codes. Its largest line is Z1034, — 30% of everything it billed.
33Billing provider infoGUILLERMO J GOMEZ MD INC
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
33aNPI1346474723assigned 05/13/2009
33bProvider typeFamily Medicine Physician
28Total paid$295K
24GClaims13,531
24DCodes billed45
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#356 of 2,511
Median peer was paid$13K
This provider vs. median23×
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 | 4,363 | $155K | |
| 2019 | 2,750 | $97K | |
| 2020 | 6,418 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Z1034 | 30% | 1,624 | 1,040 | $89K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 22% | 913 | 853 | $65K |
| Z1032 | 11% | 198 | 198 | $31K | |
| 59425 | 7.4% | 472 | 250 | $22K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 709 | 649 | $22K |
| Z6500 | 4.6% | 115 | 115 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 599 | 558 | $9K |
| Z6400 | 2.9% | 317 | 314 | $8K | |
| Z6410 | 1.5% | 396 | 333 | $4K | |
| 90670 | 1.4% | 587 | 586 | $4K | |
| 90648 | 1.3% | 589 | 589 | $4K | |
| 90680 | 1.1% | 375 | 375 | $3K |
33 more codes
| 99000 | <1% | 1,183 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 527 | $2K |
| Z6406 | <1% | 151 | $2K | |
| Z6204 | <1% | 161 | $2K | |
| 90723 | <1% | 238 | $2K | |
| 99381 | <1% | 15 | $2K | |
| Z6304 | <1% | 105 | $1K | |
| 81025 | <1% | 319 | $680.24 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 185 | $619.26 |
| 85018 | <1% | 920 | $600.63 | |
| 76813 | <1% | 12 | $581.11 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 413 | $529.67 |
| Z6414 | <1% | 31 | $451.16 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 106 | $445.44 |
| Z6208 | <1% | 30 | $350.49 | |
| Z6308 | <1% | 31 | $343.68 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 294 | $232.04 |
| 97803 | <1% | 359 | $206.80 | |
| 90700 | <1% | 64 | $144.00 | |
| 92551 | <1% | 394 | $95.82 | |
| 90686 | <1% | 90 | $93.96 | |
| 90633 | <1% | 106 | $36.13 | |
| 90713 | <1% | 13 | $27.00 | |
| 90716 | <1% | 24 | $9.00 | |
| 90707 | <1% | 24 | $9.00 | |
| 82950 | <1% | 12 | $4.15 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 52 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 258 | $0.00 |
| 97802 | 0% | 17 | $0.00 | |
| 90685 | 0% | 59 | $0.00 | |
| 99173 | 0% | 377 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 35 | $0.00 |
| 0502F | 0% | 32 | $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, GUILLERMO (PRESIDENT)