Gonzalez Cruz, Juan

Gonzalez Cruz, Juan was paid $15K by Medicaid between Jan 2018 and Dec 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoGONZALEZ CRUZ, JUAN
PONCE, PR 00716

33aNPI1265491963assigned 03/21/2006

33bProvider typeSurgery Physician

28Total paid$15K

24GClaims467

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#62 of 111

Median peer was paid$28K

This provider vs. median0.5×

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	70	$1K
2019	189	$4K
2020	33	$1K
2021	64	$3K
2022	111	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	79%	405	334	$12K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	31	14	$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	7.6%	31	24	$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.