Physician
Perez Cruz, Eladio
Perez Cruz, Eladio was paid $2.54M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 31% of everything it billed.
33Billing provider infoPEREZ CRUZ, ELADIO
SAN JUAN, PR 00909
SAN JUAN, PR 00909
33aNPI1194701706assigned 12/16/2005
33bProvider typeGastroenterology Physician
28Total paid$2.54M
24GClaims20,287
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in Puerto Rico
Rank by total paid#3 of 107
Median peer was paid$47K
This provider vs. median54×
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 | 4,399 | $454K | |
| 2019 | 3,506 | $406K | |
| 2020 | 2,425 | $279K | |
| 2021 | 3,173 | $427K | |
| 2022 | 2,319 | $317K | |
| 2023 | 2,377 | $357K | |
| 2024incomplete | 2,088 | $298K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 31% | 2,857 | 2,771 | $794K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 30% | 2,309 | 2,217 | $762K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 7,633 | 7,352 | $333K |
| 45384 | 9.4% | 744 | 697 | $239K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 4,614 | 4,384 | $223K |
| 43235 | 4.0% | 424 | 399 | $102K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.7% | 80 | 79 | $42K |
| 99070 | 1.2% | 973 | 880 | $29K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 193 | 186 | $4K |
| 99254 | <1% | 98 | 97 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 157 | 153 | $3K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 108 | 101 | $2K |
2 more codes
| 99442 | <1% | 80 | $1K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 17 | $419.13 |
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.