Physician
C. Gruesbeck/F.D. Cruz, MD, P.A.
C. Gruesbeck/F.D. Cruz, MD, P.A. was paid $1.02M by Medicaid between Jan 2018 and Jun 2022, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoC. GRUESBECK/F.D. CRUZ, MD, P.A.
SAN ANTONIO, TX 78218
SAN ANTONIO, TX 78218
33aNPI1295782993assigned 05/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.02M
24GClaims32,202
24DCodes billed43
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#96 of 1,204
Median peer was paid$31K
This provider vs. median33×
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 | 1,000 | $11K | |
| 2019 | 2,379 | $16K | |
| 2020 | 4,756 | $129K | |
| 2021 | 16,227 | $571K | |
| 2022 | 7,840 | $287K |
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 | 44% | 15,144 | 13,401 | $442K |
| 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 | 42% | 10,400 | 9,109 | $429K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 429 | 417 | $34K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 501 | 481 | $29K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 431 | 415 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 476 | 450 | $22K |
| 99335 | 1.1% | 335 | 334 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 99 | 99 | $8K |
| 97169 | <1% | 134 | 133 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 366 | 347 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 241 | 126 | $2K |
| 99385 | <1% | 24 | 24 | $2K |
31 more codes
| 99497 | <1% | 151 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $879.95 |
| 82947 | <1% | 518 | $864.29 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 146 | $746.82 |
| 0012A | <1% | 54 | $679.94 | |
| 0011A | <1% | 62 | $455.68 | |
| 94060 | <1% | 19 | $347.01 | |
| 81003 | <1% | 313 | $296.88 | |
| 90461 | <1% | 34 | $274.95 | |
| 99080 | <1% | 135 | $265.00 | |
| 90756 | <1% | 13 | $251.10 | |
| 94727 | <1% | 19 | $189.46 | |
| 94729 | <1% | 20 | $144.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $94.08 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $63.52 |
| 91301 | <1% | 115 | $0.09 | |
| 1126F | 0% | 252 | $0.00 | |
| 1125F | 0% | 144 | $0.00 | |
| 1170F | 0% | 795 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 114 | $0.00 |
| 3074F | 0% | 149 | $0.00 | |
| 3079F | 0% | 49 | $0.00 | |
| 90686 | 0% | 61 | $0.00 | |
| 90651 | 0% | 27 | $0.00 | |
| 93000 | 0% | 12 | $0.00 | |
| 1158F | 0% | 50 | $0.00 | |
| 1159F | 0% | 63 | $0.00 | |
| 3078F | 0% | 138 | $0.00 | |
| 90734 | 0% | 28 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 1160F | 0% | 85 | $0.00 |
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 officialGRUESBECK, CLAY (PRESIDENT)