Gonzalez, Marco
Gonzalez, Marco was paid $6K by Medicaid between Jan 2018 and Jul 2021, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.
33Billing provider infoGONZALEZ, MARCO
REEDLEY, CA 93654
REEDLEY, CA 93654
33aNPI1922305192assigned 02/23/2011
33bProvider typeOptometrist
28Total paid$6K
24GClaims441
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,282 of 1,899
Median peer was paid$23K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 318 | $6K | |
| 2020 | 32 | $0.00 | |
| 2021 | 91 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 56% | 91 | 91 | $3K |
| 92015 | Determination of refractive state | 21% | 168 | 168 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 44 | 44 | $601.09 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.6% | 14 | 14 | $497.00 |
| V2020 | Frames, purchases | 4.6% | 31 | 31 | $268.52 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 93 | 84 | $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.