Gamboa, Luis

Gamboa, Luis was paid $76K by Medicaid between Oct 2020 and Feb 2022, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 76% of everything it billed.

33Billing provider infoGAMBOA, LUIS
PHILADELPHIA, PA 19140

33aNPI1699936062assigned 06/18/2008

33bProvider typePediatric Emergency Medicine (Emergency Medicine) Physician

28Total paid$76K

24GClaims1,500

24DCodes billed4

24AFirst – last monthOct 2020 – Feb 2022

Compared with peers

Next to other Pediatric Emergency Medicine (Emergency Medicine) Physician providers in Pennsylvania

Rank by total paid#7 of 18

Median peer was paid$32K

This provider vs. median2.4×

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
2020	126	$6K
2021	1,236	$61K
2022	138	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	76%	1,033	1,003	$58K
99282	Emergency department visit for the evaluation and management, low to moderate severity	16%	340	337	$12K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	4.5%	68	66	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	2.8%	59	59	$2K

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.