Physician
Cruz Rivera, Luis
Cruz Rivera, Luis was paid $24K by Medicaid between Oct 2021 and Mar 2022, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 75% of everything it billed.
33Billing provider infoCRUZ RIVERA, LUIS
BAYAMON, PR 00956
BAYAMON, PR 00956
33aNPI1346813862assigned 07/22/2021
33bProvider typeEmergency Medicine Physician
28Total paid$24K
24GClaims511
24DCodes billed4
24AFirst – last monthOct 2021 – Mar 2022
Compared with peers
Next to other Emergency Medicine Physician providers in Puerto Rico
Rank by total paid#20 of 46
Median peer was paid$14K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 328 | $17K | |
| 2022 | 183 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 75% | 420 | 337 | $18K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 20% | 58 | 55 | $5K |
| 99234 | 4.9% | 13 | 12 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 20 | 20 | $192.60 |
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.