NP / PA
Cruz Montanez, Frainelys
Cruz Montanez, Frainelys was paid $16K by Medicaid between Nov 2021 and Oct 2022, across 3 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 57% of everything it billed.
33Billing provider infoCRUZ MONTANEZ, FRAINELYS
CHAMPIONS GATE, FL 33896
CHAMPIONS GATE, FL 33896
33aNPI1699265900assigned 05/11/2018
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$16K
24GClaims658
24DCodes billed3
24AFirst – last monthNov 2021 – Oct 2022
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Florida
Rank by total paid#39 of 93
Median peer was paid$8K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2021 | 239 | $5K | |
| 2022 | 419 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 57% | 262 | 216 | $9K |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 24% | 343 | 273 | $4K |
| H2000 | Comprehensive multidisciplinary evaluation | 20% | 53 | 43 | $3K |
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.