Gomez Saldana, Wilfred

Gomez Saldana, Wilfred was paid $2K by Medicaid between Apr 2019 and Nov 2024, across 16 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 57% of everything it billed.

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
2019	44	$0.00
2020	201	$765.00
2021	363	$450.00
2022	286	$0.00
2023	741	$854.08
2024incomplete	1,350	$69.26

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	57%	88	63	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43%	1,156	1,111	$923.34
3079F		0%	206	198	$0.00
3074F		0%	380	373	$0.00
3008F		0%	43	41	$0.00
3014F		0%	14	14	$0.00
1170F		0%	13	13	$0.00
3075F		0%	32	29	$0.00
1126F		0%	12	12	$0.00
3061F		0%	14	13	$0.00
3078F		0%	278	276	$0.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	439	413	$0.00

4 more codes

99204	Doctor's office visit, new patient (more involved)	0%	25	$0.00
1160F		0%	134	$0.00
1159F		0%	136	$0.00
1158F		0%	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.