Physician
Cruz, Marilou
Cruz, Marilou was paid $27K by Medicaid between Jan 2018 and Apr 2023, across 19 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 40% of everything it billed.
33Billing provider infoCRUZ, MARILOU
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1629160155assigned 09/29/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$27K
24GClaims2,764
24DCodes billed19
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in California
Rank by total paid#40 of 66
Median peer was paid$61K
This provider vs. median0.4×
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 | 1,602 | $14K | |
| 2019 | 564 | $5K | |
| 2020 | 146 | $2K | |
| 2021 | 141 | $2K | |
| 2022 | 214 | $3K | |
| 2023 | 97 | $789.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 40% | 583 | 578 | $11K |
| 92552 | 22% | 622 | 622 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 115 | 115 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 98 | 97 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 37 | 37 | $2K |
| 92081 | 3.0% | 232 | 232 | $800.14 | |
| 99173 | 2.7% | 273 | 273 | $717.26 | |
| 81002 | 2.6% | 422 | 421 | $703.86 | |
| 85018 | <1% | 93 | 93 | $191.35 | |
| 90707 | <1% | 16 | 16 | $90.00 | |
| 90670 | <1% | 13 | 13 | $63.00 | |
| 90698 | <1% | 13 | 13 | $54.00 |
7 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.