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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrancisco Cruz
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    Francisco Cruz — Billing Profile & Reimbursement Data

    NPI 1497714133 · New Orleans, LA · Nephrology Physician

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    Francisco Cruz is a nephrology physician provider located in New Orleans, Louisiana. This profile covers 9 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
    OrganizationFrancisco Cruz
    Address3434 Prytania St
    CityNew Orleans
    StateLA
    ZIP70115
    TaxonomyNephrology Physician
    NPI EnumeratedMarch 21, 2006

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

    Payer SourceTotal Paid
    Medicare$35.3K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…100$100$9.3K
    99223The 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…50$140$6.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$130$5.2K
    99214The 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…60$80$4.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$130$3.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$60$2.6K
    90937Hemodialysis is a procedure that involves drawing blood via an intraarterial or intravenous catheter, then sieving it through a semipermeable membrane to remove the impurities and finally transfusing…30$80$2.3K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…20$40$920
    99213The 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…10$60$850

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,3146,670110$80$16.5K
    992321,9332,58090$60$13.3K
    992337852,01070$90$12.3K
    G04398261,06060$120$11.7K
    992157661,65040$110$8.4K
    992135,7426,06070$50$8.1K
    992231,0102,33040$130$7.7K
    9949723333050$60$4.7K
    9093761030$80$3.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    April FoxLANephrology Physician$60.6K$0
    Angela ReginelliLANephrology Physician$47.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Association For Retarded CitizensLAChild Intellectual and/or Developmental Disabilities Respite Care$0$24.3M
    Touro InfirmaryLAGeneral Acute Care Hospital$0$20.6M
    Belle Chasse Emergency Group LLCLAEmergency Medicine Physician$0$19.9M
    Foucher Emergency Group LLCLAEmergency Medicine Physician$0$15M
    Crescent City Physicians, Inc.LAFamily Medicine Physician$0$12.9M
    Preferred Caregivers & SittersLAHome Health Agency$0$10.1M
    Association For Retarded CitizensLADevelopmentally Disabled Services Day Training Agency$0$8.3M
    Preferred Caregivers And Sitters, LLCLAHome Health Agency$0$6.4M
    Strive IncLAHome Health Agency$0$4.6M
    New Orleans La Uptown West Bank Endoscopy Asc LLCLAAmbulatory Surgical Clinic/Center$243.7K$511.1K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Francisco Cruz — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana