Physician
Cruz, Jose Maria
Cruz, Jose Maria was paid $349K by Medicaid between Jan 2018 and Nov 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoCRUZ, JOSE MARIA
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
33aNPI1871782177assigned 10/23/2007
33bProvider typePediatrics Physician
28Total paid$349K
24GClaims2,410
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#98 of 992
Median peer was paid$40K
This provider vs. median8.6×
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 | 2,410 | $349K |
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 | 46% | 1,248 | 1,171 | $160K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 398 | 394 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 329 | 322 | $55K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 310 | 301 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.6% | 109 | 105 | $19K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | 16 | $633.60 |
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.