Gomez, Roxana
Gomez, Roxana was paid $38K by Medicaid between Jul 2024 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.
33Billing provider infoGOMEZ, ROXANA
JBSA LACKLAND, TX 78236
JBSA LACKLAND, TX 78236
33aNPI1679349419assigned 12/04/2023
33bProvider typeOptometrist
28Total paid$38K
24GClaims1,150
24DCodes billed9
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#643 of 1,408
Median peer was paid$30K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2024incomplete | 1,150 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36% | 165 | 161 | $14K |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 16% | 119 | 113 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 49 | 49 | $4K |
| 92015 | Determination of refractive state | 9.5% | 231 | 228 | $4K |
| 92250 | 9.5% | 111 | 110 | $4K | |
| V2020 | Frames, purchases | 8.7% | 170 | 166 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.4% | 167 | 163 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.0% | 112 | 107 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 26 | 24 | $231.42 |
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.