Clinic
Marilou G Cruz MD INC
Marilou G Cruz MD INC was paid $310K by Medicaid between Feb 2018 and Nov 2024, across 40 billing codes. Its largest line is 99201, — 49% of everything it billed.
33Billing provider infoMARILOU G CRUZ MD INC
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1619232808assigned 07/12/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$310K
24GClaims28,696
24DCodes billed40
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#97 of 422
Median peer was paid$25K
This provider vs. median13×
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 | 3,405 | $93K | |
| 2019 | 5,214 | $103K | |
| 2020 | 1,952 | $14K | |
| 2021 | 2,685 | $64K | |
| 2022 | 2,280 | $11K | |
| 2023 | 5,647 | $13K | |
| 2024incomplete | 7,513 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99201 | 49% | 1,224 | 1,222 | $153K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15% | 251 | 251 | $47K |
| 92552 | 7.8% | 3,057 | 3,053 | $24K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 6.3% | 1,539 | 1,539 | $20K |
| A4267 | Contraceptive supply, condom, male, each | 4.5% | 1,394 | 1,394 | $14K |
| G9920 | Screening performed and negative | 3.4% | 1,005 | 991 | $11K |
| 92081 | 3.1% | 2,364 | 2,343 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 759 | 757 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 652 | 652 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 2,409 | 2,264 | $5K |
| 99000 | 1.7% | 1,482 | 1,480 | $5K | |
| 85018 | <1% | 969 | 966 | $1K |
28 more codes
| 81002 | <1% | 1,834 | $1K | |
| 90688 | <1% | 203 | $857.00 | |
| 83655 | <1% | 172 | $691.11 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,652 | $583.43 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 145 | $571.91 |
| 0071A | <1% | 27 | $560.00 | |
| 81000 | <1% | 615 | $341.70 | |
| 90686 | <1% | 42 | $162.00 | |
| 90649 | <1% | 24 | $102.60 | |
| 90619 | <1% | 25 | $72.00 | |
| 90658 | <1% | 52 | $64.80 | |
| 90656 | <1% | 12 | $41.40 | |
| 90620 | <1% | 12 | $34.20 | |
| 97802 | <1% | 248 | $30.35 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 367 | $22.46 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 156 | $13.84 |
| 3078F | 0% | 1,309 | $0.00 | |
| 4004F | 0% | 434 | $0.00 | |
| 99188 | 0% | 212 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 25 | $0.00 |
| 3008F | 0% | 1,726 | $0.00 | |
| 99441 | 0% | 468 | $0.00 | |
| 3074F | 0% | 1,344 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 246 | $0.00 |
| 96127 | 0% | 71 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 110 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 46 | $0.00 |
| 3079F | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialCRUZ, MARILOU (PRESIDENT)