Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

DR Jorge Cruz-Cruz

DR Jorge Cruz-Cruz was paid $84K by Medicaid between May 2021 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoDR JORGE CRUZ-CRUZ
BAYAMON, PR 00958
33aNPI1972112001assigned 07/24/2020
28Total paid$84K
24GClaims1,298
24DCodes billed5
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#49 of 107
Median peer was paid$47K
This provider vs. median1.8×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
202199$7K
2022228$11K
2023418$31K
2024incomplete553$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 77% 995 837 $65K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.4% 76 73 $6K
99070 6.0% 166 112 $5K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5.0% 32 31 $4K
99223 Prolong inpt eval add15 m 4.3% 29 28 $4K

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.

From NPPES

Who's on the registration

Authorized officialCRUZ-CRUZ, JORGE (PRESIDENT)