Cruz, Antone

Cruz, Antone was paid $17K by Medicaid between Jan 2018 and Feb 2018, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoCRUZ, ANTONE
CHICOPEE, MA 01020

33aNPI1851354716assigned 04/10/2006

33bProvider typeInternal Medicine Physician

28Total paid$17K

24GClaims270

24DCodes billed6

24AFirst – last monthJan 2018 – Feb 2018

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#512 of 1,270

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
2018	270	$17K

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	81%	140	130	$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	12%	28	28	$2K
80061	Lipid panel	3.0%	34	34	$507.47
80048	Basic metabolic panel (calcium, ionized)	1.7%	29	29	$292.41
83036	Hemoglobin; glycosylated (A1C)	1.5%	26	26	$257.73
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	13	13	$118.13

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.