Physician
Escalona-Cruz, Relpha
Escalona-Cruz, Relpha was paid $79K by Medicaid between Jan 2018 and Feb 2020, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoESCALONA-CRUZ, RELPHA
AUGUSTA, GA 30909
AUGUSTA, GA 30909
33aNPI1396734703assigned 10/18/2005
33bProvider typePediatrics Physician
28Total paid$79K
24GClaims2,054
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#100 of 220
Median peer was paid$57K
This provider vs. median1.4×
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 | 1,791 | $64K | |
| 2019 | 39 | $2K | |
| 2020 | 224 | $13K |
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 | 38% | 472 | 380 | $30K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 21% | 321 | 286 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 151 | 130 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 127 | 109 | $10K |
| 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 | 5.0% | 40 | 38 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 103 | 82 | $3K |
| 99460 | 1.5% | 13 | 13 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 298 | 256 | $682.66 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | 39 | $633.36 |
| 85018 | <1% | 30 | 26 | $76.30 | |
| 99173 | 0% | 46 | 39 | $0.00 | |
| 90700 | 0% | 99 | 78 | $0.00 |
6 more codes
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.