De LA Cruz, Rafael

De LA Cruz, Rafael was paid $14K by Medicaid between Dec 2018 and Mar 2022, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 78% of everything it billed.

33Billing provider infoDE LA CRUZ, RAFAEL
ALTON, IL 62002

33aNPI1669460655assigned 10/12/2005

33bProvider typeInfectious Disease Physician

28Total paid$14K

24GClaims501

24DCodes billed3

24AFirst – last monthDec 2018 – Mar 2022

Compared with peers

Next to other Infectious Disease Physician providers in Illinois

Rank by total paid#143 of 201

Median peer was paid$55K

This provider vs. median0.3×

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	21	$260.22
2019	23	$249.00
2020	102	$2K
2021	297	$9K
2022	58	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	78%	389	185	$11K
99254		12%	26	25	$2K
99222	Initial hospital care, per day, moderate complexity	9.8%	86	86	$1K

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.