De Jesus-De LA Cruz, Henry

De Jesus-De LA Cruz, Henry was paid $128K by Medicaid between Jan 2022 and May 2023, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 37% of everything it billed.

33Billing provider infoDE JESUS-DE LA CRUZ, HENRY
CAROLINA, PR 00983

33aNPI1174940068assigned 03/28/2014

33bProvider typeGastroenterology Physician

28Total paid$128K

24GClaims968

24DCodes billed6

24AFirst – last monthJan 2022 – May 2023

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#45 of 107

Median peer was paid$47K

This provider vs. median2.7×

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
2022	846	$111K
2023	122	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	37%	153	130	$47K
99070		21%	363	221	$27K
45380	Colonoscopy, flexible; with biopsy, single or multiple	17%	71	59	$22K
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	15%	161	121	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.6%	202	181	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.0%	18	12	$1K

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.