Edgar R Delacruz MD INC
Edgar R Delacruz MD INC was paid $187K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoEDGAR R DELACRUZ MD INC
DOVER, OH 44622
DOVER, OH 44622
33aNPI1477868305assigned 08/16/2010
33bProvider typeSpecialist
28Total paid$187K
24GClaims5,719
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Ohio
Rank by total paid#63 of 219
Median peer was paid$46K
This provider vs. median4.1×
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 | 1,136 | $32K | |
| 2019 | 1,641 | $38K | |
| 2020 | 802 | $22K | |
| 2021 | 749 | $24K | |
| 2022 | 662 | $27K | |
| 2023 | 289 | $19K | |
| 2024incomplete | 440 | $26K |
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 | 48% | 1,966 | 1,403 | $90K |
| 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 | 46% | 1,276 | 927 | $86K |
| 81003 | 2.0% | 1,994 | 1,293 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 200 | 184 | $3K |
| 59025 | Fetal non-stress test | 1.6% | 202 | 93 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | 26 | $2K |
| 81025 | <1% | 38 | 38 | $239.79 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 17 | 12 | $136.76 |
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 officialDELACRUZ, EDGAR (DOCTOR)