Physician
Cruz Berrios, Carissa
Cruz Berrios, Carissa was paid $215K by Medicaid between May 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoCRUZ BERRIOS, CARISSA
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1366631665assigned 10/23/2007
33bProvider typePulmonary Disease Physician
28Total paid$215K
24GClaims3,185
24DCodes billed7
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Puerto Rico
Rank by total paid#14 of 55
Median peer was paid$68K
This provider vs. median3.2×
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 | 34 | $594.68 | |
| 2019 | 109 | $3K | |
| 2021 | 38 | $2K | |
| 2022 | 475 | $24K | |
| 2023 | 813 | $56K | |
| 2024incomplete | 1,716 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 938 | 667 | $89K |
| 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 | 21% | 382 | 205 | $45K |
| 94726 | 9.4% | 425 | 364 | $20K | |
| 94060 | 9.0% | 493 | 417 | $19K | |
| 94729 | 8.3% | 425 | 364 | $18K | |
| 94660 | 7.3% | 338 | 272 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 184 | 132 | $8K |
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.