Physician
Luz T. Crystal M.D., P.C.
Luz T. Crystal M.D., P.C. was paid $4K by Medicaid between Jan 2018 and Jun 2019, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoLUZ T. CRYSTAL M.D., P.C.
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
33aNPI1417198946assigned 03/12/2009
33bProvider typeInternal Medicine Physician
28Total paid$4K
24GClaims1,274
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Internal Medicine Physician providers in Alabama
Rank by total paid#151 of 225
Median peer was paid$17K
This provider vs. median0.2×
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 | 1,020 | $3K | |
| 2019 | 254 | $1K |
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 | 63% | 166 | 153 | $3K |
| 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 | 35% | 55 | 53 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.5% | 14 | 14 | $100.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | 14 | $1.28 |
| 1036F | 0% | 203 | 189 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 88 | 83 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 12 | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 258 | 242 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 44 | 42 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 17 | 17 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 164 | 154 | $0.00 |
| 99080 | 0% | 122 | 90 | $0.00 |
1 more codes
| 4040F | 0% | 117 | $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 officialCRYSTAL, LUZ (PRESIDENT)