Rodriguez Cruz, Edwin

Rodriguez Cruz, Edwin was paid $67K by Medicaid between Feb 2018 and Oct 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoRODRIGUEZ CRUZ, EDWIN
SAN JUAN, PR 00912

33aNPI1831188101assigned 10/19/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$67K

24GClaims1,232

24DCodes billed10

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#94 of 174

Median peer was paid$109K

This provider vs. median0.6×

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	69	$1K
2019	185	$7K
2020	196	$11K
2021	123	$6K
2022	216	$12K
2023	204	$13K
2024incomplete	239	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	26%	201	183	$18K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	20%	56	53	$13K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	15%	75	74	$10K
93000		14%	513	478	$9K
93320		11%	117	104	$7K
93325		8.4%	138	115	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.8%	93	92	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	12	12	$1K
99242		<1%	13	13	$425.00
99244	Office or other outpatient consultation, moderate to high complexity	<1%	14	14	$360.00

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.