Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cruz Torres-Zayas, Sofia

Cruz Torres-Zayas, Sofia was paid $288K by Medicaid between Dec 2021 and Nov 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 66% of everything it billed.

33Billing provider infoCRUZ TORRES-ZAYAS, SOFIA
PONCE, PR 00716
33aNPI1912314717assigned 07/14/2014
28Total paid$288K
24GClaims5,002
24DCodes billed6
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Puerto Rico

Rank by total paid#11 of 77
Median peer was paid$39K
This provider vs. median7.5×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
202166$8K
2022496$61K
20231,580$108K
2024incomplete2,860$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 66% 2,598 917 $191K
99223 Prolong inpt eval add15 m 22% 797 671 $63K
99238 Hospital discharge day management, 30 minutes or less 8.9% 877 716 $26K
99236 Prolong inpt eval add15 m 2.1% 229 36 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 489 76 $2K
93000 <1% 12 12 $170.00

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.