Physician
Gomez, Juan
Gomez, Juan was paid $116.00 by Medicaid between Jan 2018 and Apr 2019, across 13 billing codes. Its largest line is 3078F, — 69% of everything it billed.
33Billing provider infoGOMEZ, JUAN
YABUCOA, PR 00767
YABUCOA, PR 00767
33aNPI1578553079assigned 10/26/2005
33bProvider typeInternal Medicine Physician
28Total paid$116.00
24GClaims1,442
24DCodes billed13
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#406 of 518
Median peer was paid$5K
This provider vs. median0.0×
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 | 766 | $116.00 | |
| 2019 | 676 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 3078F | 69% | 174 | 168 | $80.00 | |
| 3075F | 31% | 108 | 104 | $36.00 | |
| 1170F | 0% | 115 | 112 | $0.00 | |
| 1126F | 0% | 14 | 14 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 294 | 251 | $0.00 |
| 1125F | 0% | 20 | 20 | $0.00 | |
| 3008F | 0% | 14 | 13 | $0.00 | |
| 3074F | 0% | 13 | 12 | $0.00 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 53 | 51 | $0.00 |
| 96160 | 0% | 186 | 171 | $0.00 | |
| 1159F | 0% | 199 | 193 | $0.00 | |
| 1160F | 0% | 199 | 193 | $0.00 |
1 more codes
| 1158F | 0% | 53 | $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.