Physician
Cruz, Marcos
Cruz, Marcos was paid $63K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 43% of everything it billed.
33Billing provider infoCRUZ, MARCOS
GUAYNABO, PR 00969
GUAYNABO, PR 00969
33aNPI1265556898assigned 03/19/2007
33bProvider typeNeurology Physician
28Total paid$63K
24GClaims674
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Puerto Rico
Rank by total paid#17 of 45
Median peer was paid$16K
This provider vs. median4.0×
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 | 28 | $1K | |
| 2022 | 87 | $9K | |
| 2023 | 153 | $13K | |
| 2024incomplete | 406 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 222 | 203 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 228 | 208 | $16K |
| 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 | 18% | 107 | 98 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 89 | 86 | $7K |
| 95819 | 2.0% | 28 | 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.