Dr. Nivia Cruz-OrtizM.D.

23Critical

Top 94% of Nephrology providers

Revenue Score Breakdown

E&M Coding (25%)24
Program Utilization (25%)0
Revenue Efficiency (20%)33
Service Diversity (15%)35
Patient Volume (15%)33
Revenue Score: 23

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Just discovered my practice's Revenue Score on NPIxray — scored 23/100 (Critical). Interesting breakdown of E&M coding patterns, program adoption, and revenue efficiency.

https://npixray.com/provider/1447363130

Medicare Patients

27

Total Services

167

Medicare Payment

$11K

E&M Visits

91

Top Billing Codes

CodeServicesPaymentAvg/Service
9921365$4K$65.26
9923264$4K$62.17
9921426$2K$68.00
9922212$1K$102.25

E&M Code Distribution

Evaluation & Management visit level distribution based on CMS Medicare billing data. Higher-level codes (99214, 99215) indicate more complex patient encounters.

99211
0.0%
99212
0.0%
99213
71.4%
99214
28.6%
99215
0.0%

Care Management Programs

Medicare care management program participation based on CMS billing data. Active programs represent significant revenue and better patient outcomes.

CCM
Not Billing

Chronic Care Management (99490)

Services

0

Payment

$0

RPM
Not Billing

Remote Patient Monitoring (99454/99457)

Services

0

Payment

$0

BHI
Not Billing

Behavioral Health Integration (99484)

Services

0

Payment

$0

AWV
Not Billing

Annual Wellness Visit (G0438/G0439)

Services

0

Payment

$0

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We identified potential CCM, RPM, and AWV candidates from Dr. Nivia Cruz-Ortiz's Medicare patient panel. Upgrade to see the full eligibility breakdown and personalized action plan.

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Data sourced from CMS Medicare Physician & Other Practitioners public dataset. All information shown is publicly available government data. This page does not contain any protected health information (PHI).