Delacruz, Michael

Delacruz, Michael was paid $81K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 68% of everything it billed.

33Billing provider infoDELACRUZ, MICHAEL
EPHRATA, PA 17522

33aNPI1629232087assigned 07/15/2008

33bProvider typeInternal Medicine Physician

28Total paid$81K

24GClaims1,619

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#231 of 1,726

Median peer was paid$6K

This provider vs. median12×

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	59	$3K
2019	218	$5K
2020	308	$11K
2021	504	$32K
2022	195	$10K
2023	200	$13K
2024incomplete	135	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	68%	595	215	$55K
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	12%	379	335	$9K
99292		11%	251	106	$9K
94060		2.7%	93	89	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.8%	95	62	$1K
94726		1.5%	89	85	$1K
94729		1.4%	90	86	$1K
99205	Prolong outpt/office vis	<1%	13	13	$779.84
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	14	12	$203.95

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.