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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRhea Cruz
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    Rhea Cruz — Billing Profile & Reimbursement Data

    NPI 1124629910 · Wilson, NC · Family Nurse Practitioner

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    Rhea Cruz is a family nurse practitioner provider located in Wilson, North Carolina. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRhea Cruz
    Address403 Crestview Ave Sw
    CityWilson
    StateNC
    ZIP27893
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedNovember 6, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$278K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…2,730$50$131.2K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…990$70$66.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…580$40$22.7K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…150$120$17.4K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…160$90$13.5K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…360$30$10.9K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)150$30$5.1K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…60$90$4.7K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…100$50$4.6K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…30$50$1.7K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309113900260$70$31.2K
    99349498600120$80$24.1K
    993083740130$50$13.5K
    993068138050$130$12.7K
    99489128060$50$11.6K
    9931045347050$100$10.5K
    9949060750120$40$10.3K
    993053324050$100$7.8K
    994872911030$90$7.2K
    994396350090$30$6K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eventus Wholehealth, PLLCNCFamily Medicine Physician$0$26.6M
    Leanna WorshamNCNurse Practitioner$482.3K$0
    Kelly ButlerNCPsychiatry Physician$448.9K$2.9K
    Bradley GoadVAInternal Medicine Physician$444.3K$0
    Andrea HetheringtonTNObstetrics & Gynecology Nurse Practitioner$337.9K$0
    Emily BeckNCPrimary Care Nurse Practitioner$332.3K$0
    Molly SalmonsenNCNurse Practitioner$307.6K$0
    Peter GemelliNCPhysical Medicine & Rehabilitation Physician$292.8K$0
    Leslie WilliamsNCNurse Practitioner$275.2K$0
    Rayomand BengaliNCGeriatric Medicine (Internal Medicine) Physician$268K$0

    Nearby Providers

    Other providers in the same ZIP code as Rhea Cruz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Caring Heart Case Management, Inc.NCDevelopmentally Disabled Services Day Training Agency$0$127.5M
    Stepping Stones Community Resources, IncorporatedNCCommunity/Behavioral Health Agency$0$38.2M
    Eastern Carolina Pediatrics PANCPediatrics Physician$0$24.6M
    Phillips Home Health CareNCHome Health Agency$0$18M
    Bridges Of Hope IncNCMulti-Specialty Clinic/Center$0$18M
    Interim Healthcare - Morris Group, Inc.NCHome Health Agency$0$14.8M
    Phillips Home Health Care AgencyNCHome Health Agency$0$13.9M
    Wilson House LLCNCAdult Care Home Facility$0$11.7M
    Dlp Wilson Medical Center LLCNCGeneral Acute Care Hospital$0$11.5M
    Frederick MylesNCHome Health Aide$0$9.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Rhea Cruz — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina