Cruz, Juan
Cruz, Juan was paid $52K by Medicaid between Jan 2018 and Dec 2023, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoCRUZ, JUAN
NEW YORK, NY 10034
NEW YORK, NY 10034
33aNPI1497857379assigned 09/02/2006
33bProvider typeLegal Medicine
28Total paid$52K
24GClaims3,044
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Legal Medicine providers in New York
Rank by total paid#73 of 126
Median peer was paid$98K
This provider vs. median0.5×
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 | 525 | $10K | |
| 2019 | 1,183 | $17K | |
| 2020 | 509 | $10K | |
| 2021 | 446 | $8K | |
| 2022 | 171 | $3K | |
| 2023 | 210 | $4K |
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 | 74% | 1,697 | 1,470 | $39K |
| 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 | 24% | 410 | 383 | $12K |
| 99490 | Ccm add 20min | 1.8% | 122 | 122 | $940.65 |
| 90686 | <1% | 39 | 39 | $101.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20 | 20 | $79.05 |
| 93000 | <1% | 15 | 15 | $26.64 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 332 | 321 | $2.76 |
| 99429 | 0% | 240 | 199 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 131 | 116 | $0.00 |
| 4037F | 0% | 12 | 12 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 12 | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 14 | 13 | $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.