Physician
Alberto M. Cruz, MD. INC.
Alberto M. Cruz, MD. INC. was paid $1K by Medicaid between Jan 2018 and Apr 2021, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoALBERTO M. CRUZ, MD. INC.
RIALTO, CA 92376
RIALTO, CA 92376
33aNPI1841339355assigned 02/05/2007
33bProvider typeGeneral Practice Physician
28Total paid$1K
24GClaims2,962
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#338 of 474
Median peer was paid$10K
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 | |
|---|---|---|---|
| 2018 | 917 | $953.59 | |
| 2019 | 1,445 | $379.92 | |
| 2020 | 509 | $65.60 | |
| 2021 | 91 | $0.00 |
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 | 77% | 1,257 | 1,235 | $1K |
| 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 | 16% | 465 | 459 | $230.21 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.8% | 203 | 200 | $94.68 |
| 99441 | 0% | 303 | 285 | $0.00 | |
| 3008F | 0% | 381 | 377 | $0.00 | |
| 3074F | 0% | 108 | 107 | $0.00 | |
| 3075F | 0% | 14 | 14 | $0.00 | |
| 3079F | 0% | 47 | 47 | $0.00 | |
| 3351F | 0% | 61 | 61 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 14 | 14 | $0.00 |
| 96127 | 0% | 17 | 17 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | 12 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialCRUZ, ALBERTO (OWNER/PRESIDENT)