Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidErnesto Gomez
    Ask Trek AI about this page

    Ernesto Gomez — Billing Profile & Reimbursement Data

    NPI 1386685055 · Mesa, AZ · Obstetrics & Gynecology Physician

    Customize your policy alerts

    Sign up for Ernesto Gomez — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Ernesto Gomez is a obstetrics & gynecology physician provider located in Mesa, Arizona. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationErnesto Gomez
    Address801 S Power Rd Ste 108
    CityMesa
    StateAZ
    ZIP85206
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedJune 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$532.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90912The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…4,820$60$289K
    90913The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…5,920$20$142K
    99214The 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…740$100$71.3K
    99204The provider sees a new 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 provider…70$130$9K
    99213The 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…90$60$6K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…100$50$4.7K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory50$40$2.1K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination50$40$2K
    99203The 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…20$80$1.3K
    99212The 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,…20$40$700

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90913110440$20$52.4K
    9091211040$60$40.9K
    9921475410,410120$80$20.6K
    992134,3029,60080$60$9.6K
    992041,6115,79040$110$6.7K
    992033,1944,10040$70$4K
    992121,6932,31030$40$2.4K
    51700912030$50$2.2K
    G01015120030$40$1.7K
    Q00912512020$40$1.5K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ernesto Gomez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summit Healthcare AssociationAZRural Acute Care Hospital$0$50.7M
    Obstetrix Medical Group Of Phoenix PCAZNeonatal-Perinatal Medicine Physician$0$31M
    Summit Healthcare Medical AssociatesAZFamily Medicine Physician$0$15.5M
    Riyaz SumarAZCardiovascular Disease Physician$538.4K$0
    Pranav DoshiAZInterventional Cardiology Physician$506.3K$0
    Lorne MurrayAZCardiovascular Disease Physician$462.2K$0
    John EllsworthUTUrology Physician$398.1K$0
    Adhar SethAZCardiovascular Disease Physician$389.6K$0
    Ali AzadiAZUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$378.6K$0
    Pedro OrtizAZCardiovascular Disease Physician$263.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Ernesto Gomez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acumen Fiscal Agent LLCAZCommunity/Behavioral Health Agency$0$1.1B
    Affinity Family Care, LLC.AZHome Health Agency$0$63.8M
    Residents At The Heights, LLCAZSubstance Abuse Rehabilitation Facility$0$33.2M
    Banner Baywood Medical CenterAZGeneral Acute Care Hospital$0$29.6M
    A Brighter Avenue LLCAZSpeech-Language Pathologist$0$28.6M
    Emergency Physicians Southwest, PCAZEmergency Medicine Physician$0$27M
    Health Care Alternatives, Inc.AZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$26.1M
    Christian3 Mega Clinic LLCAZSubstance Use Disorder Rehabilitation Clinic/Center$0$22.3M
    Horizon Pediatric Therapy, Inc.AZMusic Therapist$0$17.9M
    Zarephath Inc.AZCommunity/Behavioral Health Agency$0$17M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Ernesto Gomez — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona