Gomez, Jose

Gomez, Jose was paid $371.97 by Medicaid between Jan 2018 and Mar 2021, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 86% of everything it billed.

33Billing provider infoGOMEZ, JOSE
HUMACAO, PR 00791

33aNPI1821153115assigned 12/27/2006

33bProvider typeSurgery Physician

28Total paid$371.97

24GClaims48

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#106 of 111

Median peer was paid$28K

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	16	$0.00
2019	12	$318.48
2021	20	$53.49

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	86%	12	12	$318.48
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	20	13	$53.49
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	0%	16	15	$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.