Physician
Cruz, Alberto
Cruz, Alberto was paid $382.16 by Medicaid between Jan 2018 and Feb 2020, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoCRUZ, ALBERTO
RIALTO, CA 92376
RIALTO, CA 92376
33aNPI1487763652assigned 08/30/2006
33bProvider typePediatrics Physician
28Total paid$382.16
24GClaims1,136
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#1,191 of 1,490
Median peer was paid$15K
This provider vs. median0.0×
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 | 1,110 | $0.00 | |
| 2019 | 13 | $287.12 | |
| 2020 | 13 | $95.04 |
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 | 75% | 13 | 13 | $287.12 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 13 | 12 | $95.04 |
| 36415 | Collection of venous blood by venipuncture | 0% | 217 | 202 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 164 | 158 | $0.00 |
| 84436 | 0% | 65 | 63 | $0.00 | |
| 84480 | 0% | 63 | 61 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 91 | 89 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 122 | 118 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 110 | 107 | $0.00 |
| 84550 | 0% | 69 | 66 | $0.00 | |
| 81003 | 0% | 108 | 105 | $0.00 | |
| 80061 | Lipid panel | 0% | 101 | 99 | $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.