Gomez, Pedro
Gomez, Pedro was paid $260K by Medicaid between Oct 2020 and Nov 2024, across 7 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 35% of everything it billed.
33Billing provider infoGOMEZ, PEDRO
HOUSTON, TX 77081
HOUSTON, TX 77081
33aNPI1972674570assigned 11/13/2006
33bProvider typePediatric Optometrist
28Total paid$260K
24GClaims8,778
24DCodes billed7
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Pediatric Optometrist providers in Texas
Rank by total paid#3 of 7
Median peer was paid$97K
This provider vs. median2.7×
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 | 505 | $14K | |
| 2021 | 2,494 | $74K | |
| 2022 | 2,372 | $72K | |
| 2023 | 2,074 | $62K | |
| 2024incomplete | 1,333 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 35% | 2,086 | 2,068 | $90K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 26% | 1,572 | 1,563 | $68K |
| V2025 | Deluxe frame | 18% | 1,628 | 1,603 | $48K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 1,739 | 1,707 | $33K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 7.7% | 1,726 | 1,694 | $20K |
| V2020 | Frames, purchases | <1% | 13 | 13 | $240.00 |
| 92015 | Determination of refractive state | <1% | 14 | 12 | $90.00 |
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.