Delacruz, Papa

Delacruz, Papa was paid $872K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 0502F, — 31% of everything it billed.

33Billing provider infoDELACRUZ, PAPA
BUFFALO GROVE, IL 60089

33aNPI1497727200assigned 02/06/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$872K

24GClaims16,351

24DCodes billed21

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#29 of 911

Median peer was paid$41K

This provider vs. median21×

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	1,162	$42K
2019	3,046	$91K
2020	2,648	$94K
2021	1,793	$87K
2022	1,927	$101K
2023	2,840	$210K
2024incomplete	2,935	$248K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		31%	5,284	3,699	$274K
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	16%	1,352	1,038	$138K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	1,955	1,520	$124K
76818		10%	1,329	776	$90K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	7.0%	873	704	$61K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	6.2%	895	817	$54K
76830	Ultrasound, transvaginal	6.2%	829	735	$54K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	2.1%	259	206	$18K
59025	Fetal non-stress test	2.0%	547	379	$17K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	1.4%	13	13	$12K
96127		1.3%	794	606	$11K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	84	81	$7K

9 more codes

81003		<1%	1,945	$4K
59430		<1%	20	$3K
0503F		<1%	18	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	15	$1K
90686		<1%	29	$526.76
81025		<1%	63	$202.95
85018		<1%	15	$34.92
36415	Collection of venous blood by venipuncture	<1%	16	$32.80
82962		<1%	16	$26.88

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.