Cruz, Gilberto

Cruz, Gilberto was paid $275K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoCRUZ, GILBERTO
HIALEAH, FL 33012

33aNPI1124011515assigned 08/31/2005

33bProvider typeNeurology Physician

28Total paid$275K

24GClaims8,432

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neurology Physician providers in Florida

Rank by total paid#17 of 159

Median peer was paid$18K

This provider vs. median15×

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	627	$7K
2019	1,458	$41K
2020	1,570	$46K
2021	1,366	$46K
2022	1,143	$45K
2023	1,545	$59K
2024incomplete	723	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	65%	6,978	5,985	$180K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	34%	1,409	1,236	$95K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	45	39	$734.26

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.