Cruz, Stephen

Cruz, Stephen was paid $2K by Medicaid between May 2020 and Jun 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoCRUZ, STEPHEN
NEENAH, WI 54956

33aNPI1043204951assigned 09/07/2005

33bProvider typeFamily Medicine Physician

28Total paid$2K

24GClaims46

24DCodes billed2

24AFirst – last monthMay 2020 – Jun 2022

Compared with peers

Next to other Family Medicine Physician providers in Wisconsin

Rank by total paid#216 of 359

Median peer was paid$4K

This provider vs. median0.5×

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	34	$1K
2022	12	$376.04

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	52%	29	29	$946.21
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	48%	17	17	$856.40

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.