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

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

Candice Dela Cruz (NPI 1902446057)

Field	Value
Entity Type	Individual
Organization	Candice Dela Cruz
Address	103 Saint James Pl
City	Sharpsburg
State	GA
ZIP	30277
Taxonomy	Physical Therapist
NPI Enumerated	January 7, 2020

Payer Source	Total Paid
Medicare	$52.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	2,470	$20	$51.9K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	30	$70	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Candice Dela Cruz — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97113	3	60	490	$20	$17K
97161	463	830	30	$70	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Malorie Defore	IL	Occupational Therapist	$302.1K	$33.6K
Nicole Tucker	UT	Physical Therapist	$310.7K	$0
Maria Malaver-reyes	GA	Physical Therapist	$155.6K	$0
Elizabeth Reiter	VA	Occupational Therapist	$142.1K	$0
Nicholas Elwell	NH	Physical Therapist	$132.4K	$0
Justin Bryan	GA	Physical Therapist	$87.1K	$0
Kyla Asbury	WY	Physical Therapist	$84.7K	$0
Olivia Hutchinson	GA	Speech-Language Pathologist	$76.7K	$0
Elana Delbeau	GA	Physical Therapist	$75.3K	$0
Rachel Biller	GA	Physical Therapist	$59.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Anderson	GA	Family Medicine Physician	$30.2K	$0
Dana Sellers	GA	Family Nurse Practitioner	$30.1K	$0

Candice Dela Cruz — Billing Profile & Reimbursement Data

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Candice Dela 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