Corral Delacruz, Jessica

Corral Delacruz, Jessica was paid $2K by Medicaid between Mar 2019 and Aug 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoCORRAL DELACRUZ, JESSICA
NORTH AUGUSTA, SC 29841

33aNPI1720343346assigned 07/10/2012

33bProvider typePediatrics Physician

28Total paid$2K

24GClaims51

24DCodes billed3

24AFirst – last monthMar 2019 – Aug 2019

Compared with peers

Next to other Pediatrics Physician providers in South Carolina

Rank by total paid#407 of 471

Median peer was paid$18K

This provider vs. median0.1×

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
2019	51	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	83%	26	26	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	9.4%	13	13	$177.71
90460	Immunization administration through 18 years of age via any route, first or only component	8.0%	12	12	$151.32

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.