CARLOS CRUZ, M.D.
Emergency Medicine Physician · PALO ALTO, CA
Individual Active NPI 1881911402
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 437 | 2,499 | $234,817 | $86,207 | $62,291 |
| 2023 | 456 | 2,032 | $228,096 | $89,239 | $66,520 |
| 2022 | 461 | 1,844 | $210,962 | $83,295 | $63,865 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 198 | $155 | $111 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 92 | $0 | $0 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 89 | $216 | $161 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 84 | $135 | $91 |
| 81003 | Automated urinalysis test | 43 | $2 | $2 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 33 | $111 | $69 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 21 | $200 | $148 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 20 | $37 | $30 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 18 | $262 | $173 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 14 | $87 | $69 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 14 | $16 | $16 |
| 96374 | Injection of drug or substance into vein | 13 | $49 | $39 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ✓ | A124925 | CA |
| Emergency Medicine Physician | 207P00000X | 256293 | NY | |
| Emergency Medicine Physician | 207P00000X | MD444611 | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Emergency Medicine Physician providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.