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    OpenPayerNPI Medicare & MedicaidCarl Cruse
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    Carl Cruse — Billing Profile & Reimbursement Data

    NPI 1568474997 · Tampa, FL · Plastic and Reconstructive Surgery Physician

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    Carl Cruse is a plastic and reconstructive surgery physician provider located in Tampa, Florida. 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
    OrganizationCarl Cruse
    Address12901 Bruce B Downs Blvd
    CityTampa
    StateFL
    ZIP33612
    TaxonomyPlastic and Reconstructive Surgery Physician
    NPI EnumeratedAugust 13, 2006

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

    Payer SourceTotal Paid
    Medicare$54.3K
    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
    15120This procedure is a split–thickness autograft of the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits.  This excision and placement is for the first 100…30$470$13.7K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.20$620$9.9K
    99203The provider sees a new 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 provider…120$60$7.6K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.10$650$7.1K
    15004The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…30$210$6.2K
    11626The provider excises a cancerous (malignant) lesion, including margins, of over 4.0 cm in diameter, from the skin of the scalp, neck, hands, feet, or genitalia (sex organs).30$160$4.9K
    11624The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the scalp, neck, hands, feet, or genitalia (sex organs).20$130$3.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…40$30$970
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…20$40$840

    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
    14301649020$770$27.7K
    1526014215020$740$22.9K
    1512031020$630$21.4K
    15004336030$270$13.9K
    152759211050$100$7.3K
    992031,59411,72040$70$4.4K
    1162621020$180$4.4K
    1162441020$160$4.1K
    992123,3926,92040$40$2.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Medical Service Association IncFLGeneral Practice Physician$0$29.4M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Sachin KamathFLRadiation Oncology Physician$2M$0
    Susmitha ApuriFLMedical Oncology Physician$1.9M$0
    Ernesto AyalaFLHematology (Internal Medicine) Physician$1.7M$0
    Larry SilvermanFLRadiation Oncology Physician$1.6M$0
    Larry WilfFLNuclear Radiology Physician$1.2M$0
    Lewis GlassFLDermatopathology Physician$1.2M$0
    Matthew BiagioliFLRadiation Oncology Physician$1.2M$0
    Mohamed Kharfan DabajaFLHematology (Internal Medicine) Physician$822.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.FLSpecial Hospital$0$24.5M
    Eden Home HealthFLDevelopmentally Disabled Services Day Training Agency$0$10.7M
    Better At Home, LLC.FLNursing Care Agency$0$9.4M
    Ameripath Florida LLCFLClinical Medical Laboratory$1.8M$288.2K
    Chinedu OkekeFLAnatomic Pathology & Clinical Pathology Physician$1.2M$0
    Chad EngelFLVascular & Interventional Radiology Physician$1.1M$0
    Basil CherpelisFLMOHS-Micrographic Surgery Physician$804.8K$0
    Ameneh MashayekhFLDiagnostic Radiology Physician$725.9K$0
    Lauren ShawFLPhysician Assistant$603.3K$0
    Alberto DuboyFLUrology Physician$347.6K$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. Florida Distribution
    Carl Cruse — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida