Physician
Cruz, Carmina
Cruz, Carmina was paid $65K by Medicaid between Apr 2019 and Oct 2019, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoCRUZ, CARMINA
LANCASTER, SC 29720
LANCASTER, SC 29720
33aNPI1497859755assigned 09/08/2006
33bProvider typePediatrics Physician
28Total paid$65K
24GClaims1,754
24DCodes billed18
24AFirst – last monthApr 2019 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in South Carolina
Rank by total paid#122 of 471
Median peer was paid$18K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2019 | 1,754 | $65K |
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 | 55% | 501 | 448 | $35K |
| 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 | 9.0% | 58 | 55 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 40 | 40 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 43 | 43 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 42 | 42 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 189 | 187 | $2K |
| 90461 | 3.6% | 105 | 105 | $2K | |
| 99070 | 3.1% | 312 | 302 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 124 | 122 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 12 | 12 | $1K |
| 81002 | <1% | 142 | 138 | $395.53 | |
| 99051 | <1% | 18 | 17 | $216.00 |
6 more codes
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.