Cruz, Cesar

Cruz, Cesar was paid $18K by Medicaid between Mar 2018 and Jul 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoCRUZ, CESAR
COVINA, CA 91724

33aNPI1861766099assigned 03/06/2012

33bProvider typePsychiatry Physician

28Total paid$18K

24GClaims686

24DCodes billed6

24AFirst – last monthMar 2018 – Jul 2022

Compared with peers

Next to other Psychiatry Physician providers in California

Rank by total paid#272 of 483

Median peer was paid$24K

This provider vs. median0.7×

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	164	$3K
2019	260	$4K
2020	152	$4K
2021	71	$4K
2022	39	$3K

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	42%	100	96	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	33%	336	112	$6K
99308	Subsequent nursing facility care, per day, straightforward	19%	206	204	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.6%	15	13	$637.26
99304		2.0%	16	12	$355.87
99307		<1%	13	13	$108.48

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.