Physician
Cruse, Ingrid
Cruse, Ingrid was paid $751K by Medicaid between Jan 2018 and Mar 2023, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoCRUSE, INGRID
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
33aNPI1508854878assigned 10/11/2005
33bProvider typePediatrics Physician
28Total paid$751K
24GClaims18,831
24DCodes billed28
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#100 of 1,273
Median peer was paid$24K
This provider vs. median31×
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 | 1,279 | $48K | |
| 2019 | 2,798 | $98K | |
| 2020 | 3,769 | $144K | |
| 2021 | 4,734 | $183K | |
| 2022 | 4,747 | $212K | |
| 2023 | 1,504 | $66K |
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 | 31% | 4,045 | 3,907 | $233K |
| 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 | 14% | 1,077 | 1,064 | $105K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 1,889 | 1,817 | $84K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 595 | 595 | $50K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.6% | 971 | 951 | $50K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 391 | 391 | $33K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.5% | 2,830 | 2,826 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 293 | 285 | $23K |
| 90461 | 3.0% | 673 | 672 | $23K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.9% | 265 | 264 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 231 | 231 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 1,991 | 1,987 | $21K |
16 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.8% | 419 | $13K |
| 92552 | 1.4% | 504 | $11K | |
| 99173 | 1.2% | 410 | $9K | |
| 96127 | <1% | 725 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 251 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 386 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 155 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 113 | $2K |
| 87081 | <1% | 292 | $2K | |
| 99050 | <1% | 86 | $1K | |
| 87634 | <1% | 15 | $866.88 | |
| 0074A | <1% | 12 | $550.56 | |
| 99051 | <1% | 32 | $513.36 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $360.69 |
| 85018 | <1% | 153 | $332.16 | |
| 81003 | <1% | 15 | $29.70 |
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.