Gamboa, Charles
Gamboa, Charles was paid $276K by Medicaid between Apr 2018 and Aug 2020, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 22% of everything it billed.
33Billing provider infoGAMBOA, CHARLES
WASHINGTON, DC 20006
WASHINGTON, DC 20006
33aNPI1548675515assigned 06/27/2014
33bProvider typeOptometrist
28Total paid$276K
24GClaims5,125
24DCodes billed6
24AFirst – last monthApr 2018 – Aug 2020
Compared with peers
Next to other Optometrist providers in District of Columbia
Rank by total paid#9 of 27
Median peer was paid$98K
This provider vs. median2.8×
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 | 2,366 | $115K | |
| 2019 | 1,943 | $112K | |
| 2020 | 816 | $48K |
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 | 22% | 667 | 610 | $61K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 21% | 1,110 | 1,047 | $58K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 19% | 1,369 | 1,288 | $52K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 526 | 512 | $48K |
| V2020 | Frames, purchases | 16% | 1,270 | 1,192 | $44K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 4.8% | 183 | 169 | $13K |
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.