Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mayra Sanchez De La Cruz (NPI 1073794616)

Field	Value
Entity Type	Individual
Organization	Mayra Sanchez De La Cruz
Address	40 Temple St
City	New Haven
State	CT
ZIP	06510
Taxonomy	Gastroenterology Physician
NPI Enumerated	November 26, 2007

Payer Source	Total Paid
Medicare	$22.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	120	$90	$9.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	40	$120	$5.2K
91122	N/A	30	$60	$1.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	20	$70	$1.7K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	10	$120	$1.4K
91040	The provider performs esophageal balloon dilation to determine whether the patient’s chest pain results from esophageal or cardiac causes. The procedure includes provocation, if performed.…	20	$40	$860
91010	The provider uses a manometer to analyze esophageal muscle pressure and movement in a patient with gastroesophageal reflux disease or GERD. He interprets the findings and prepares a report.	10	$50	$590
91120	N/A	20	$30	$580

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Mayra Sanchez De La Cruz — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,728	6,480	90	$90	$14.2K
43239	208	240	50	$120	$8.9K
43249	24	30	20	$300	$5.7K
99204	752	2,660	30	$120	$4.6K
91122	2	10	20	$90	$1.8K
91010	7	10	20	$50	$1.1K
91040	1	10	20	$40	$860
91120	1	10	20	$40	$610

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mayra Sanchez De La Cruz, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Gi PLLC	CT	Gastroenterology Physician	$0	$12M
Robert Najarian	MA	Anatomic Pathology Physician	$520.7K	$878.6K
Susan Gobel	CT	Anatomic Pathology & Clinical Pathology Physician	$539K	$0
Ayesha Siddique	CT	Anatomic Pathology & Clinical Pathology Physician	$353.4K	$0
Angela Fields	WA	Anatomic Pathology & Clinical Pathology Physician	$343.1K	$0
Anshu Trivedi	CT	Anatomic Pathology Physician	$296.6K	$0
Jennifer Dodge	NY	Physician Assistant	$276.4K	$0
Bela Horvath	MA	Anatomic Pathology Physician	$246.7K	$0
John Wysocki	CT	Gastroenterology Physician	$244.7K	$0
Neil Parikh	CT	Gastroenterology Physician	$178.8K	$0

Mayra Sanchez De La Cruz — Billing Profile & Reimbursement Data

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Mayra Sanchez De La Cruz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References