Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Iowa (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mark Gomez (NPI 1902150535)

Field	Value
Entity Type	Individual
Organization	Mark Gomez
Address	500 E Market St
City	Iowa City
State	IA
ZIP	52245
Taxonomy	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
NPI Enumerated	November 5, 2012

Payer Source	Total Paid
Medicare	$38.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	440	$40	$18.4K
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…	170	$50	$8.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$100	$3.3K
99204	The 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…	30	$100	$3.2K
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…	30	$70	$2.3K
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…	30	$60	$1.6K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	50	$20	$940

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Mark Gomez — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,763	4,690	100	$70	$14.4K
99213	1,369	4,740	100	$50	$8K
11042	10	120	90	$50	$7.9K
99215	613	1,220	30	$110	$6.4K
99204	880	1,870	30	$100	$5K
99203	894	1,600	30	$60	$3.2K
11045	20	20	120	$20	$3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital, Iowa City, Iowa	IA	General Acute Care Hospital	$0	$6.4M
Johnson County Mental Health And Developmental Disabilities Services	IA	Case Management Agency	$0	$3.1M
Chris Watts	IA	Ophthalmology Physician	$2.7M	$0
Mercy Services Iowa City, Inc.	IA	Multi-Specialty Clinic/Center	$0	$2.4M
Iowa City Ambulatory Surgical Center, LLC	IA	Ambulatory Surgical Clinic/Center	$1.7M	$437.9K
Pediatric Associates Of Iowa City And Coralville, LLP	IA	Pediatrics Physician	$0	$1.8M
Johnson County Emergency Medicine, Plc	IA	Emergency Medicine Physician	$0	$1.4M
University Of Iowa Community Medical Services LLC	IA	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Nathan Hall	IA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.1M
Ent Medical Services PC	IA	Specialist	$0	$1.1M

Mark Gomez — Billing Profile & Reimbursement Data

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

Mark Gomez — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References