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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRichard Santa Cruz
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    Richard Santa Cruz — Billing Profile & Reimbursement Data

    NPI 1861423758 · Appleton, WI · Cardiovascular Disease Physician

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    Richard Santa Cruz is a cardiovascular disease physician provider located in Appleton, Wisconsin. This profile covers 41 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
    OrganizationRichard Santa Cruz
    Address1818 N Meade St
    CityAppleton
    StateWI
    ZIP54911
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedJuly 6, 2006

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

    Payer SourceTotal Paid
    Medicare$477.8K
    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose310$360$108.6K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…650$120$77.3K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…150$340$51.2K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…60$430$26.9K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…70$340$22K
    99204The provider sees a new 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 provider…180$120$21.9K
    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…160$140$21.7K
    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…290$70$19.9K
    93460The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…30$610$17.2K
    J2785Injection, regadenoson, 0.1 mg350$40$13.7K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A950232060$280$32.8K
    33361395040$530$19.7K
    9330617320220$60$16.4K
    33340183020$520$14.2K
    92928118030$370$12.9K
    992145,1979,80080$70$9.2K
    992336102,11060$90$8.7K
    J27851050150$40$8.7K
    784522824060$100$7.7K
    992329493,49060$60$7.2K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thedacare Medical Center - Shawano, Inc.WICritical Access Hospital$0$32.8M
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Thedacare Regional Medical Center-neenah, Inc.WIGeneral Acute Care Hospital$0$18.3M
    Thedacare, IncorporatedWIFamily Medicine Physician$0$14.8M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Thedacare Regional Medical Center - Appleton, Inc.WIGeneral Acute Care Hospital$0$11.5M
    Thedacare Medical Center - Waupaca, Inc.WICritical Access Hospital$0$10.9M
    Thedacare Medical Center - Berlin, Inc.WICritical Access Hospital$0$9.4M
    Thedacare Medical Center - New London, Inc.WICritical Access Hospital$0$9.2M
    Thedacare, IncorporatedWICommunity Based Hospice Care Agency$0$8.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of OutagamieWIMental Health Clinic/Center (Including Community Mental Health Center)$0$45.5M
    Milwaukee Health Services System, LLCWIMethadone Clinic$0$9.4M
    Mooring Programs, IncWISubstance Abuse Rehabilitation Facility$0$7.3M
    Appleton Area School DistrictWILocal Education Agency (LEA)$0$5.6M
    Planned Parenthood Of WisconsinWIAmbulatory Family Planning Facility$0$1.4M
    David AnderlaWIFamily Medicine Physician$402K$0
    Toni Jo NealWIFoot & Ankle Surgery Podiatrist$241.6K$0
    Mac WeningerWIPhysical Medicine & Rehabilitation Physician$215.7K$0
    Ameer KabourWICardiovascular Disease Physician$202.9K$0
    Craig MartinWIChiropractor$25.8K$132.4K

    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. Wisconsin Distribution
    Richard Santa Cruz — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin