Physician
Gomez, James
Gomez, James was paid $342K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoGOMEZ, JAMES
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
33aNPI1376654103assigned 08/31/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$342K
24GClaims9,989
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#106 of 911
Median peer was paid$41K
This provider vs. median8.4×
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 | 887 | $21K | |
| 2019 | 1,296 | $28K | |
| 2020 | 1,598 | $37K | |
| 2021 | 1,451 | $42K | |
| 2022 | 1,145 | $35K | |
| 2023 | 1,763 | $80K | |
| 2024incomplete | 1,849 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 1,355 | 678 | $114K |
| 0502F | 29% | 2,137 | 1,075 | $99K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 2,157 | 1,694 | $97K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 4.7% | 267 | 192 | $16K |
| 81002 | 2.8% | 3,928 | 1,732 | $9K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 62 | 53 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | 39 | $3K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 13 | 12 | $862.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 31 | 25 | $45.10 |
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.