Physician
De LA Cruz-Napoli, Jose
De LA Cruz-Napoli, Jose was paid $50K by Medicaid between Mar 2018 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.
33Billing provider infoDE LA CRUZ-NAPOLI, JOSE
SAN JUAN, PR 00901
SAN JUAN, PR 00901
33aNPI1033182548assigned 02/08/2006
33bProvider typeCornea and External Diseases Specialist Physician
28Total paid$50K
24GClaims1,084
24DCodes billed3
24AFirst – last monthMar 2018 – Nov 2024
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 | 172 | $11K | |
| 2019 | 190 | $17K | |
| 2020 | 69 | $5K | |
| 2021 | 131 | $3K | |
| 2022 | 181 | $5K | |
| 2023 | 197 | $5K | |
| 2024incomplete | 144 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 84% | 1,010 | 889 | $43K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 57 | 53 | $7K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.0% | 17 | 14 | $996.12 |
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.