Physician
Gonzalez, Gustavo
Gonzalez, Gustavo was paid $4.02M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 77% of everything it billed.
33Billing provider infoGONZALEZ, GUSTAVO
MONTEREY, CA 93940
MONTEREY, CA 93940
33aNPI1558354332assigned 08/26/2005
33bProvider typeOphthalmology Physician
28Total paid$4.02M
24GClaims41,726
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#20 of 759
Median peer was paid$35K
This provider vs. median114×
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 | 5,871 | $519K | |
| 2019 | 6,340 | $568K | |
| 2020 | 4,643 | $468K | |
| 2021 | 5,766 | $587K | |
| 2022 | 5,902 | $606K | |
| 2023 | 7,381 | $709K | |
| 2024incomplete | 5,823 | $559K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 77% | 16,662 | 16,653 | $3.07M |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.3% | 3,741 | 3,686 | $334K |
| 92015 | Determination of refractive state | 8.0% | 15,756 | 15,747 | $322K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.1% | 1,435 | 1,431 | $123K |
| 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 | 1.0% | 364 | 361 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 337 | 336 | $33K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,649 | 1,648 | $32K |
| 92250 | <1% | 588 | 588 | $21K | |
| V2020 | Frames, purchases | <1% | 920 | 920 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 249 | 248 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 25 | 25 | $1K |
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.