Gomez, Michael
Gomez, Michael was paid $55K by Medicaid between Dec 2018 and Mar 2020, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 45% of everything it billed.
33Billing provider infoGOMEZ, MICHAEL
HIALEAH, FL 33012
HIALEAH, FL 33012
33aNPI1477606366assigned 01/22/2007
33bProvider typeOptometrist
28Total paid$55K
24GClaims3,112
24DCodes billed14
24AFirst – last monthDec 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#336 of 941
Median peer was paid$21K
This provider vs. median2.5×
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 | 295 | $6K | |
| 2019 | 2,471 | $45K | |
| 2020 | 346 | $3K |
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 | 45% | 374 | 347 | $24K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 40% | 391 | 375 | $22K |
| V2020 | Frames, purchases | 8.3% | 603 | 561 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.2% | 507 | 473 | $2K |
| 92341 | 1.1% | 70 | 69 | $587.50 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 294 | 257 | $322.08 |
| 92015 | Determination of refractive state | <1% | 564 | 529 | $238.06 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 78 | 74 | $90.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 114 | 82 | $47.18 |
| 2019F | 0% | 30 | 30 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 15 | 12 | $0.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 17 | 13 | $0.00 |
2 more codes
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.