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NPI 1174523641 · Saint Clairsville, OH · Internal Medicine Physician
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Renato Delacruz is a internal medicine physician provider located in Saint Clairsville, Ohio. This profile covers 25 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Renato Delacruz |
| Address | 135 E Main St Ste D |
| City | Saint Clairsville |
| State | OH |
| ZIP | 43950 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | July 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $396K |
| Medicaid | $8.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 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… | 1,000 | $80 | $81.1K |
| 99490 | The 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… | 1,360 | $50 | $61.2K |
| 99310 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends… | 450 | $100 | $46.9K |
| 99309 | The 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… | 420 | $80 | $32.3K |
| 99223 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 210 | $130 | $28.1K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 800 | $30 | $24.6K |
| 99239 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the… | 240 | $90 | $21K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 210 | $90 | $19.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 310 | $60 | $18.4K |
| 99306 | The 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… | 100 | $140 | $13.7K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 351 | 1,450 | 180 | $70 | $21.8K |
| 99214 | 134 | 20,010 | 100 | $70 | $11.7K |
| 99233 | 948 | 5,570 | 70 | $90 | $11.2K |
| 99484 | 3 | 20 | 40 | $30 | $9.7K |
| 99306 | 102 | 480 | 50 | $130 | $9.4K |
| 99490 | 4 | 420 | 100 | $40 | $8.1K |
| 99310 | 5 | 370 | 40 | $100 | $7.6K |
| 99223 | 182 | 5,590 | 40 | $130 | $7.6K |
| G0439 | 1,532 | 4,720 | 60 | $90 | $7.4K |
| 99213 | 1,791 | 20,000 | 70 | $50 | $6.6K |
Showing 1–10 of 25
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 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… | 820 | $10 | $6.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 240 | $10 | $1.4K |
| 99490 | The 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… | 160 | $1 | $480 |
| 99308 | The 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… | 210 | $1 | $210 |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 20 | $0 | $0 |
| 99309 | The 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… | 110 | $0 | $0 |
| 99337 | N/A | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1,939 | 4,510 | 500 | $60 | $377.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 3,123 | 5,080 | 560 | $40 | $323.9K |
| 99309 | The 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… | 458 | 630 | 630 | $20 | $62.5K |
| 99308 | The 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… | 447 | 690 | 610 | $10 | $44.5K |
| 99490 | The 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… | 63 | 100 | 310 | $1 | $16.6K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 287 | 320 | 200 | $10 | $9.2K |
| 99337 | N/A | 22 | 20 | 120 | $30 | $9.1K |
Other providers in the same ZIP code as Renato Delacruz, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bhc Fox Run Hospital Inc | OH | Psychiatric Hospital | $0 | $7.6M |
| Valley Endoscopy Center, Inc | OH | Ambulatory Surgical Clinic/Center | $103.2K | $1.1M |
| Cumberland Trail Fire District No 4 | OH | Ambulance | $329.7K | $450.3K |
| Physicians Regional Surgery Center LLC | OH | Ambulatory Surgical Clinic/Center | $599.4K | $73.9K |
| Devender Batra | OH | Cardiovascular Disease Physician | $309.1K | $0 |
| Joseph Glorioso | OH | Family Medicine Physician | $105.5K | $28.1K |
| Victor Maevsky | OH | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | $110.1K | $0 |
| Abhishek Julka | OH | Orthopaedic Hand Surgery Physician | $97.9K | $0 |
| Michael Bigelow | OH | Physical Therapist | $84.8K | $0 |
| Nicholas Cornett | OH | Physical Therapist | $82.5K | $0 |
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