Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Jorge Cruz (NPI 1598240459)

Field	Value
Entity Type	Individual
Organization	Jorge Cruz
Address	718 Teaneck Rd
City	Teaneck
State	NJ
ZIP	07666
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	September 26, 2018

Payer Source	Total Paid
Medicare	$7.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	30	$90	$2.8K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	40	$60	$2.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	10	$150	$1.7K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	20	$30	$690

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Jorge Cruz — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	1,924	1,970	50	$180	$16.1K
31500	1	60	10	$120	$1.8K
36556	14	200	20	$70	$1.6K
36620	79	200	20	$40	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Excelcare Medical Associates, PA	NJ	Internal Medicine Physician	$0	$10M
Kimberly Miletti	NJ	Gerontology Nurse Practitioner	$444.6K	$0
Chang Lee	NJ	Internal Medicine Physician	$413.6K	$0
Gilberto Gastell	NJ	Internal Medicine Physician	$331.1K	$0
Michelle Reisner	NJ	Internal Medicine Physician	$244.6K	$0
Richard Gallo	NJ	Internal Medicine Physician	$230.5K	$0
Selwyn Levine	NJ	Pulmonary Disease Physician	$210K	$0
Michael Schwarz	NJ	Specialist	$208.3K	$0
Richard May	NJ	Pulmonary Disease Physician	$183.3K	$0
Chester Lee	NJ	Urology Physician	$175.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holy Name Medical Center Inc.	NJ	General Acute Care Hospital	$0	$107.1M
Awca Home Care Agency, Inc.	NJ	Home Health Agency	$0	$25.2M
Care-4-me,llc	NJ	Home Health Agency	$0	$18.1M
Friendly Urgent Care, LLC	NJ	Urgent Care Clinic/Center	$0	$8.6M
New Jersey Laser Dentistry	NJ	Dental Clinic/Center	$0	$8.5M
Vincent Ho	NJ	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Holy Name Ems	NJ	Land Ambulance	$1.3M	$919K
Tamara Lenis	NJ	Ophthalmology Physician	$1.7M	$0
Neil Gonter	NJ	Rheumatology Physician	$1.6M	$0
Luis Gonzalez Gonzalez	NJ	Ophthalmology Physician	$1.5M	$0

Jorge Cruz — Billing Profile & Reimbursement Data

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Jorge Cruz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References