Cruz, Oscar

Cruz, Oscar was paid $115K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92060, — 22% of everything it billed.

33Billing provider infoCRUZ, OSCAR
SAINT LOUIS, MO 63104

33aNPI1801816236assigned 07/20/2006

33bProvider typeOphthalmology Physician

28Total paid$115K

24GClaims3,414

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Missouri

Rank by total paid#18 of 83

Median peer was paid$19K

This provider vs. median6.0×

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
2018	1,159	$33K
2019	962	$40K
2020	314	$13K
2021	233	$5K
2022	255	$7K
2023	194	$7K
2024incomplete	297	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92060		22%	1,092	893	$25K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	21%	813	731	$25K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	19%	416	370	$22K
92002		16%	545	477	$18K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	12%	225	214	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.7%	163	147	$7K
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	3.3%	72	65	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	25	25	$1K
99070		<1%	63	24	$22.46

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.