Gomez, Miguel
Gomez, Miguel was paid $58K by Medicaid between May 2019 and Nov 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 84% of everything it billed.
33Billing provider infoGOMEZ, MIGUEL
FALLS CHURCH, VA 22042
FALLS CHURCH, VA 22042
33aNPI1487629010assigned 02/17/2006
33bProvider typeSpecialist
28Total paid$58K
24GClaims815
24DCodes billed5
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#106 of 231
Median peer was paid$47K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2019 | 15 | $853.79 | |
| 2020 | 50 | $4K | |
| 2021 | 112 | $10K | |
| 2022 | 335 | $17K | |
| 2023 | 214 | $17K | |
| 2024incomplete | 89 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 84% | 554 | 430 | $49K |
| 76830 | Ultrasound, transvaginal | 13% | 84 | 68 | $8K |
| 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 | 2.3% | 14 | 13 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 97 | 87 | $224.39 |
| 0502F | 0% | 66 | 38 | $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.