Cruz Cruz, Luis

Cruz Cruz, Luis was paid $163K by Medicaid between Jan 2018 and May 2024, across 6 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 90% of everything it billed.

33Billing provider infoCRUZ CRUZ, LUIS
MAYAGUEZ, PR 00680

33aNPI1093773731assigned 05/03/2006

33bProvider typeOphthalmology Physician

28Total paid$163K

24GClaims2,948

24DCodes billed6

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in Puerto Rico

Rank by total paid#71 of 141

Median peer was paid$163K

This provider vs. median1.0×

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
2018	620	$28K
2019	708	$31K
2020	458	$29K
2021	387	$23K
2022	342	$22K
2023	320	$22K
2024incomplete	113	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	90%	2,348	2,147	$146K
92015	Determination of refractive state	6.0%	295	278	$10K
92002		2.9%	128	120	$5K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	14	14	$1K
92202		<1%	67	66	$632.00
92225		<1%	96	49	$459.74

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.