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 Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

Eliesel Lacerda De La Cruz (NPI 1831363779)

Field	Value
Entity Type	Individual
Organization	Eliesel Lacerda De La Cruz
Address	101 Page St
City	New Bedford
State	MA
ZIP	02740
Taxonomy	Infectious Disease Physician
NPI Enumerated	April 22, 2008

Payer Source	Total Paid
Medicare	$252.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,240	$90	$105.2K
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…	510	$150	$75.8K
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…	380	$120	$47K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	160	$100	$16.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	60	$110	$6.6K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	30	$70	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Eliesel Lacerda De La Cruz — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	78	840	300	$80	$37.8K
99306	10	370	80	$140	$17.9K
99310	40	510	80	$110	$15.4K
99305	39	240	50	$100	$10.2K
99316	93	280	40	$90	$5.7K
99315	58	110	30	$60	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Physicians Group, Inc.	MA	Family Medicine Physician	$0	$49.8M
Praveen Tumula	TX	Hematology & Oncology Physician	$2.2M	$0
Raju Singla	MA	Internal Medicine Physician	$632.7K	$0
John Johnson	MA	Allergy & Immunology Physician	$424.5K	$0
David Westrin	MA	Adult Health Nurse Practitioner	$424.2K	$0
Thomas Viveiros	MA	Adult Health Nurse Practitioner	$360K	$0
Richard Pin	MA	Vascular Surgery Physician	$351.6K	$0
Aleem Mughal	TX	Clinical Cardiac Electrophysiology Physician	$345.2K	$0
Bahige Asaker	MA	Internal Medicine Physician	$335.9K	$3.1K
Michael Duque	RI	Internal Medicine Physician	$77.5K	$253.6K

Nearby Providers

Other providers in the same ZIP code as Eliesel Lacerda De La Cruz, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$226M
Southcoast Hospitals Group, Inc	MA	General Acute Care Hospital	$0	$172.9M
Child & Family Services, Inc.	MA	Mental Health Counselor	$0	$169.5M
High Point Treatment Center Inc.	MA	Counselor	$516K	$98.4M
Greater New Bedford Community Health Center, Inc.	MA	Community Health Clinic/Center	$0	$42.5M
Boston Neurobehavioral Associates, LLC	MA	Psychiatry Physician	$0	$17.1M
City Of New Bedford	MA	Land Ambulance	$1.7M	$11.7M
Shokoohi & Vakili LLC	MA	Pediatric Dentistry	$0	$12M
Anchor Medical Group And Wellness Center PC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$10.6M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$9.4M

Eliesel Lacerda De La Cruz — Billing Profile & Reimbursement Data

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Eliesel Lacerda De La 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