Cruz, Marine
Cruz, Marine was paid $154K by Medicaid between Feb 2018 and Oct 2024, across 14 billing codes. Its largest line is 92015, Determination of refractive state — 42% of everything it billed.
33Billing provider infoCRUZ, MARINE
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1134456049assigned 11/13/2009
33bProvider typeOptometrist
28Total paid$154K
24GClaims7,460
24DCodes billed14
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Puerto Rico
Rank by total paid#73 of 299
Median peer was paid$40K
This provider vs. median3.8×
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 | 888 | $17K | |
| 2019 | 827 | $19K | |
| 2020 | 1,326 | $31K | |
| 2021 | 2,051 | $38K | |
| 2022 | 1,766 | $30K | |
| 2023 | 442 | $14K | |
| 2024incomplete | 160 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 42% | 2,558 | 2,484 | $65K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 27% | 1,306 | 1,283 | $42K |
| 92002 | 19% | 949 | 915 | $30K | |
| V2020 | Frames, purchases | 8.3% | 1,278 | 1,251 | $13K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.6% | 27 | 27 | $4K |
| 92250 | <1% | 28 | 28 | $319.48 | |
| 92060 | <1% | 15 | 15 | $310.50 | |
| V2781 | Progressive lens, per lens | 0% | 350 | 349 | $0.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 205 | 205 | $0.00 |
| 3072F | 0% | 199 | 199 | $0.00 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 262 | 261 | $0.00 |
| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | 0% | 171 | 171 | $0.00 |
2 more codes
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.