Cruz, Ignacio

Cruz, Ignacio was paid $280K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 97597, — 53% of everything it billed.

33Billing provider infoCRUZ, IGNACIO
PONCE, PR 00731

33aNPI1154377885assigned 05/25/2006

33bProvider typeGeneral Practice Physician

28Total paid$280K

24GClaims8,639

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#83 of 1,195

Median peer was paid$2K

This provider vs. median137×

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	1,069	$14K
2019	1,406	$17K
2020	2,148	$65K
2021	823	$39K
2022	1,002	$54K
2023	1,910	$78K
2024incomplete	281	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97597		53%	4,066	1,711	$148K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	3,709	1,473	$118K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	143	92	$4K
29580		1.2%	112	52	$3K
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	<1%	420	179	$3K
29581		<1%	76	29	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	32	26	$1K
11000		<1%	64	26	$811.05
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	17	14	$33.02

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.