Physician
Tomacruz, Luis
Tomacruz, Luis was paid $176K by Medicaid between Oct 2020 and Dec 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.
33Billing provider infoTOMACRUZ, LUIS
INDIANA, PA 15701
INDIANA, PA 15701
33aNPI1922098151assigned 10/27/2005
33bProvider typeFamily Medicine Physician
28Total paid$176K
24GClaims2,913
24DCodes billed3
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#411 of 2,756
Median peer was paid$19K
This provider vs. median9.2×
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 | |
|---|---|---|---|
| 2020 | 54 | $2K | |
| 2021 | 702 | $32K | |
| 2022 | 754 | $32K | |
| 2023 | 748 | $50K | |
| 2024incomplete | 655 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 52% | 1,313 | 1,301 | $91K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 25% | 1,044 | 1,037 | $44K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 23% | 556 | 547 | $41K |
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.