Physician
Gomez, Dorian
Gomez, Dorian was paid $170K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoGOMEZ, DORIAN
NEWBURGH, NY 12550
NEWBURGH, NY 12550
33aNPI1659577799assigned 06/25/2007
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$170K
24GClaims2,744
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in New York
Rank by total paid#10 of 41
Median peer was paid$15K
This provider vs. median11×
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 | 217 | $9K | |
| 2019 | 406 | $23K | |
| 2020 | 469 | $30K | |
| 2021 | 488 | $44K | |
| 2022 | 455 | $37K | |
| 2023 | 350 | $16K | |
| 2024incomplete | 359 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 82% | 2,206 | 2,127 | $140K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 428 | 420 | $21K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.5% | 66 | 66 | $9K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 44 | 44 | $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.