Loading...
NPI 1083619753 · West Covina, CA · Licensed Practical Nurse
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Harold Gomez is a licensed practical nurse provider located in West Covina, California. This profile covers 14 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Harold Gomez |
| Address | 1220 S Glendora Ave |
| City | West Covina |
| State | CA |
| ZIP | 91790 |
| Taxonomy | Licensed Practical Nurse |
| NPI Enumerated | June 17, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $825.1K |
| Medicare | $45.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 46040 | In this procedure, the provider makes an incision around the anal canal to access the abscess and drains it by incising the abscess pockets present around the rectum and or area between rectum and… | 30 | $410 | $11.1K |
| 26011 | The provider drains a finger abscess, such as a felon, an infection of the pulp of the fingertip. | 30 | $370 | $9.3K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 110 | $80 | $8.4K |
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 20 | $180 | $4.2K |
| 93970 | The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral… | 20 | $150 | $3.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | $120 | $2.6K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 20 | $150 | $2.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 40 | $50 | $2.3K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 20 | $20 | $480 |
| G0444 | Annual depression screening, 5 to 15 minutes | 20 | $20 | $400 |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 19,631 | 37,970 | 120 | $90 | $23.2K |
| 93925 | 769 | 1,250 | 40 | $180 | $15.4K |
| 99213 | 23,538 | 34,660 | 80 | $70 | $13.2K |
| G0439 | 6,270 | 7,800 | 60 | $130 | $11.9K |
| 46040 | 1 | 10 | 30 | $410 | $11.1K |
| 93880 | 1,874 | 2,230 | 40 | $130 | $10.7K |
| 93970 | 1,641 | 2,290 | 40 | $100 | $8.4K |
| 26011 | 2 | 10 | 30 | $290 | $8.1K |
| 36415 | 4,256 | 4,540 | 80 | $10 | $7.4K |
| G0446 | 301 | 370 | 60 | $30 | $3.2K |
Showing 1–10 of 14
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 3,660 | $100 | $362.1K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 4,340 | $70 | $286.3K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 430 | $310 | $133.3K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 4,670 | $1 | $18.7K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 70 | $190 | $12.7K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 780 | $10 | $10.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 50 | $130 | $6.8K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 12,171 | 14,520 | 760 | $10 | $122.8K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 1,435 | 2,180 | 180 | $70 | $67.9K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 1,930 | 5,590 | 180 | $50 | $62.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,148 | 5,600 | 440 | $10 | $44.4K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 245 | 2,710 | 300 | $10 | $29.5K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 269 | 790 | 360 | $10 | $10.7K |
| 99000 | Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory. | 320 | 2,110 | 490 | $1 | $5K |
Other providers in the same ZIP code as Harold Gomez, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Altamed Health Services Corp | CA | Federally Qualified Health Center (FQHC) | $0 | $83.6M |
| East Valley Community Health Center, Inc. | CA | Federally Qualified Health Center (FQHC) | $0 | $34.5M |
| Premier Healthcare Services, LLC | CA | Home Health Agency | $0 | $28.7M |
| Emanate Health Medical Center | CA | General Acute Care Hospital | $0 | $23.5M |
| Philip Ngai | CA | Glaucoma Specialist (Ophthalmology) Physician | $1.2M | $0 |
| Catherine Noel-uyloan | CA | General Practice Physician | $1.2M | $0 |
| Brian Leberthon | CA | Hematology & Oncology Physician | $333.1K | $542.4K |
| Bac Nguyen | CA | Otolaryngology Physician | $521.6K | $117.4K |
| Joseph Lin | CA | Ophthalmology Physician | $187K | $0 |
| Gerald Grossman | CA | Diagnostic Radiology Physician | $130.7K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.