Physician
Cruz-Colon, Cristobal
Cruz-Colon, Cristobal was paid $349K by Medicaid between Mar 2019 and Sep 2021, across 17 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 51% of everything it billed.
33Billing provider infoCRUZ-COLON, CRISTOBAL
PONCE, PR 00716
PONCE, PR 00716
33aNPI1548455868assigned 09/10/2007
33bProvider typeOphthalmology Physician
28Total paid$349K
24GClaims8,554
24DCodes billed17
24AFirst – last monthMar 2019 – Sep 2021
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#47 of 141
Median peer was paid$163K
This provider vs. median2.1×
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 | 3,802 | $163K | |
| 2020 | 2,804 | $119K | |
| 2021 | 1,948 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 51% | 1,480 | 1,248 | $177K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 21% | 1,058 | 821 | $74K |
| 92015 | Determination of refractive state | 7.0% | 702 | 585 | $25K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.7% | 150 | 145 | $16K |
| 92225 | 4.5% | 768 | 671 | $16K | |
| 92134 | 4.2% | 1,302 | 1,139 | $15K | |
| 92083 | 2.5% | 709 | 597 | $9K | |
| 92002 | 2.5% | 201 | 180 | $9K | |
| 92202 | <1% | 368 | 317 | $3K | |
| 92020 | <1% | 349 | 298 | $3K | |
| 76514 | <1% | 624 | 527 | $2K | |
| 92133 | <1% | 243 | 205 | $1K |
5 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.