Physician
Dela Cruz, Marthe
Dela Cruz, Marthe was paid $725K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoDELA CRUZ, MARTHE
SPRINGFIELD, IL 62701
SPRINGFIELD, IL 62701
33aNPI1326257098assigned 05/21/2007
33bProvider typePediatrics Physician
28Total paid$725K
24GClaims18,481
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#203 of 1,805
Median peer was paid$55K
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 | 774 | $47K | |
| 2019 | 2,184 | $117K | |
| 2020 | 2,049 | $89K | |
| 2021 | 3,979 | $122K | |
| 2022 | 3,338 | $113K | |
| 2023 | 3,175 | $109K | |
| 2024incomplete | 2,982 | $127K |
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 | 30% | 2,768 | 2,137 | $216K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 2,232 | 1,731 | $156K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 1,975 | 1,481 | $150K |
| 96127 | 4.8% | 2,448 | 1,907 | $35K | |
| 90670 | 4.4% | 1,435 | 1,080 | $32K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 315 | 264 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 1,029 | 808 | $19K |
| 90677 | 2.3% | 329 | 270 | $17K | |
| 90723 | 1.7% | 1,133 | 835 | $12K | |
| 90647 | 1.6% | 1,093 | 782 | $12K | |
| 90680 | 1.2% | 795 | 584 | $9K | |
| 90686 | 1.2% | 682 | 531 | $9K |
19 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.0% | 61 | $7K |
| 83655 | <1% | 380 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 279 | $4K |
| 90633 | <1% | 341 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 125 | $3K |
| 90697 | <1% | 112 | $2K | |
| 90656 | <1% | 67 | $1K | |
| 36416 | <1% | 270 | $1K | |
| 0071A | <1% | 24 | $1K | |
| 85018 | <1% | 376 | $972.78 | |
| 99460 | <1% | 12 | $674.22 | |
| 90681 | <1% | 32 | $534.72 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 25 | $365.00 |
| 90707 | <1% | 28 | $333.20 | |
| 90700 | <1% | 26 | $308.08 | |
| 90651 | <1% | 15 | $250.65 | |
| 90734 | <1% | 15 | $246.50 | |
| 90716 | <1% | 20 | $128.00 |
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.