Dra. Karen Cruz P.S.C.
Dra. Karen Cruz P.S.C. was paid $333K by Medicaid between Feb 2018 and Dec 2024, across 5 billing codes. Its largest line is 95819, — 41% of everything it billed.
33Billing provider infoDRA. KAREN CRUZ P.S.C.
CAGUAS, PR 00727
CAGUAS, PR 00727
33aNPI1235402512assigned 02/16/2012
33bProvider typeSpecialist
28Total paid$333K
24GClaims2,970
24DCodes billed5
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#56 of 316
Median peer was paid$26K
This provider vs. median13×
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 | 40 | $4K | |
| 2019 | 28 | $2K | |
| 2020 | 170 | $12K | |
| 2021 | 476 | $52K | |
| 2022 | 494 | $58K | |
| 2023 | 764 | $84K | |
| 2024incomplete | 998 | $121K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95819 | 41% | 432 | 372 | $137K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 1,426 | 1,025 | $100K |
| 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 | 17% | 787 | 747 | $57K |
| 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 | 11% | 306 | 232 | $38K |
| 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% | 19 | 19 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialCRUZ, KAREN (PRESIDENT)