Gomez-Torres, Edward

Gomez-Torres, Edward was paid $80K by Medicaid between Jan 2018 and Nov 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoGOMEZ-TORRES, EDWARD
CAYEY, PR 00736

33aNPI1699860460assigned 10/04/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$80K

24GClaims1,805

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#74 of 185

Median peer was paid$53K

This provider vs. median1.5×

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	135	$3K
2019	88	$766.00
2020	106	$3K
2021	423	$13K
2022	321	$13K
2023	732	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	78%	1,122	758	$63K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	19%	620	480	$15K
76827		2.3%	49	41	$2K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	14	12	$286.40

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.