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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCinthya Cruz
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    Cinthya Cruz — Billing Profile & Reimbursement Data

    NPI 1568181634 · New Bern, NC · Family Nurse Practitioner

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    Cinthya Cruz is a family nurse practitioner provider located in New Bern, North Carolina. This profile covers 20 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
    OrganizationCinthya Cruz
    Address670 Cardinal Rd
    CityNew Bern
    StateNC
    ZIP28562
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedAugust 23, 2022

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

    Payer SourceTotal Paid
    Medicare$79.1K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…590$80$45.4K
    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…260$40$10.8K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…40$180$6.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…150$40$5.3K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.260$20$4.2K
    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…10$110$1.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.130$10$1.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.140$10$1.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…120$10$960
    87086Culture, bacterial; quantitative, colony count, urine.50$10$420

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    844431,0571,09090$20$18K
    800536181,400100$10$16.5K
    871865611030$10$16K
    992141,11918,060110$80$15.1K
    870869823040$10$13.7K
    870774510030$10$12.6K
    992155,3155,72040$110$7.7K
    850257391,92080$10$7.4K
    992132,13116,32070$50$7.1K
    364151,2773,49090$10$6.4K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher FlyeNCDiagnostic Radiology Physician$1.7M$0
    Cchc Endoscopy Center IncNCEndoscopy Clinic/Center$988.7K$57.5K
    Kent LucasNCInternal Medicine Physician$475.5K$0
    Matthew GroveNCInterventional Cardiology Physician$451K$0
    Michael CascielloNCCardiovascular Disease Physician$449.4K$0
    Warren MurrayNCInternal Medicine Physician$417.1K$0
    Brittany GradyNCFamily Medicine Physician$391K$0
    Kevin MacdonaldNCFamily Medicine Physician$384.2K$0
    Patricia GuilfordNCFamily Medicine Physician$377.4K$0
    Grant TibbettsWADiagnostic Radiology Physician$375.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$28.2M
    Coastal Childrens ClinicNCPediatrics Physician$0$20.4M
    Home Life Care IncNCIn Home Supportive Care Agency$0$14M
    Robert B. Harrison Dmd Msd PLLCNCMulti-Specialty Clinic/Center$0$7.5M
    Robert B. Miller, Iv, Dds, PLLCNCDentist$0$7.3M
    Christopher MizelleNCDermatology Physician$924.7K$0
    Nathan SaucierNCNephrology Physician$724.1K$0
    Jay SingletonNCOphthalmology Physician$704.5K$0
    Todd NelsonNCDermatology Physician$494K$0
    Matthew LevineNCCardiovascular Disease Physician$460.9K$0

    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
    Cinthya Cruz — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina