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Carlos O Cruz

Emergency Medicine · Palo Alto

NPI 1881911402

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Carlos O Cruz’s office at (415) 600-1020 to ask if they take your plan before you enroll.

California Medical Board record

Licence A124925 · Current

Licensed to practise in California · since 2013 · expires 2027-02-28 · University of Pennsylvania School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$62,291

Medicare paid this office $62,291 for 437 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)187$21,898$111
Long return visit (40+ min)89$14,314$161
New patient visit (30+ min)84$7,637$91
New patient visit (60+ min)18$3,122$173
New patient visit (45+ min)21$3,114$148
See all 12 services
Every Original Medicare service billed
Return visit (30+ min)187$21,898$111
Long return visit (40+ min)89$14,314$161
New patient visit (30+ min)84$7,637$91
New patient visit (60+ min)18$3,122$173
New patient visit (45+ min)21$3,114$148
Short return visit (20+ min)33$2,290$69
New patient visit (15+ min)14$961$69
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or20$596$30
Injection of drug or substance into vein13$511$39
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)14$223$16
Automated urinalysis test42$95$2
Injection, ceftriaxone sodium, per 250 mg19$32None

Who their Medicare patients are

437 Original Medicare patients in 2024. Average age 78 · Women 63% · Also on Medicaid 7% · Health risk score 0.97. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 62% · Coronary heart disease 21% · Atrial fibrillation 21% · Cancer 19% · Diabetes 16% · Chronic kidney disease 15% · Depression 14% · Heart failure 11% · COPD 5% · Dementia 5% · Stroke 5%.

The office billed $234,817, Medicare allowed $86,207 and paid $62,291; for 2,499 services of 54 kinds; $1,433 of it was for drugs given in the office and $60,858 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20244372,499780.97$234,817$62,291
20234562,032790.98$228,096$66,520
20224611,844781.00$210,962$63,865
20214153,688771.04$207,863$65,328
2020299881781.13$131,367$35,840
20194782,045781.19$213,894$56,842
2018474977781.06$219,767$59,949
20175181,415771.14$225,598$61,160
20164162,563771.17$176,985$47,952
20154553,107771.16$212,898$63,052
20144192,848771.06$194,378$54,689
2013302335732.38$349,592$42,983

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 12 services

Original Medicare services billed in 2023
Return visit (30+ min)151$18,202$114
Long return visit (40+ min)76$13,299$168
New patient visit (30+ min)104$9,548$92
New patient visit (60+ min)25$5,296$212
Short return visit (20+ min)53$4,324$82
New patient visit (45+ min)28$4,067$145
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus12$1,677$140
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen33$1,659$50
New patient visit (15+ min)21$1,106$53
Injection of drug or substance into vein19$769$40
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or11$332$30
Automated urinalysis test51$114$2

2022: 14 services

Original Medicare services billed in 2022
Return visit (30+ min)128$16,574$121
Short return visit (20+ min)103$9,158$87
Long return visit (40+ min)47$8,611$172
New patient visit (30+ min)89$8,410$94
New patient visit (45+ min)34$5,242$154
New patient visit (60+ min)14$3,000$214
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen53$2,678$51
New patient visit (15+ min)35$2,056$59
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less17$1,541$73
Short return visit19$999$53
Injection of drug or substance under skin or into muscle25$363$14
Automated urinalysis test67$151$2
Injection, ceftriaxone sodium, per 250 mg20$41None
Ringers lactate infusion, up to 1000 cc13$32None

2021: 13 services

Original Medicare services billed in 2021
Return visit (30+ min)156$19,270$115
Long return visit (40+ min)72$13,132$175
Short return visit (20+ min)83$6,557$77
New patient visit (30+ min)45$4,919$109
New patient visit (45+ min)16$2,604$163
New patient visit (15+ min)27$1,568$58
Injection of drug or substance into vein27$1,300$45
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen24$1,231$51
Infusion into a vein for hydration, 31-60 minutes12$464$39
Injection of drug or substance under skin or into muscle22$373$14
Automated urinalysis test56$128$2
Injection, ceftriaxone sodium, per 250 mg18$42None
Infusion, normal saline solution , 1000 cc14$32None

2020: 6 services

Original Medicare services billed in 2020
Return visit (30+ min)159$15,131$93
Long return visit (40+ min)58$7,622$129
Short return visit (20+ min)62$3,407$53
Injection of drug or substance into vein16$720$42
Automated urinalysis test49$112$2
Injection, ceftriaxone sodium, per 250 mg11$33None

2019: 14 services

Original Medicare services billed in 2019
Return visit (30+ min)226$22,049$95
Long return visit (40+ min)94$12,099$126
Short return visit (20+ min)132$8,348$62
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less27$2,043$76
New patient visit (30+ min)12$1,247$104
Injection of drug or substance into vein18$851$41
Infusion into a vein for hydration, 31-60 minutes12$478$40
Injection of additional new drug or substance into vein12$294$17
Injection of drug or substance under skin or into muscle14$267$17
Infusion into a vein for hydration, each additional hour14$208$14
Ultrasound measurement of bladder capacity after voiding15$193$13
Automated urinalysis test70$173$2
Infusion, normal saline solution , 1000 cc29$62None
Injection, ceftriaxone sodium, per 250 mg23$48None

2018: 14 services

Original Medicare services billed in 2018
Return visit (30+ min)235$22,321$91
Long return visit (40+ min)102$12,538$122
Short return visit (20+ min)102$6,332$61
New patient visit (45+ min)13$1,751$135
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less20$1,597$76
New patient visit (30+ min)21$1,331$63
Infusion into a vein for hydration, 31-60 minutes23$1,111$48
Injection of drug or substance into vein16$763$48
Injection of drug or substance under skin or into muscle12$309$21
Automated urinalysis test80$217$3
Infusion into a vein for hydration, each additional hour11$153$14
Ultrasound measurement of bladder capacity after voiding11$145$13
Infusion, normal saline solution , 1000 cc33$64None
Injection, ceftriaxone sodium, per 250 mg24$54None

2017: 19 services

Original Medicare services billed in 2017
Return visit (30+ min)250$24,170$91
Long return visit (40+ min)120$14,756$122
Short return visit (20+ min)130$7,898$60
Injection of drug or substance into vein28$1,879$59
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less22$1,644$71
Infusion into a vein for hydration, 31-60 minutes25$1,481$59
New patient visit (30+ min)15$811$54
New patient visit (15+ min)12$711$59
Injection of additional new drug or substance into vein12$665$23
Infusion into a vein for hydration, each additional hour19$416$15
Injection of drug or substance under skin or into muscle14$387$26
Inhalation treatment for airway obstruction or sputum production15$293$20
Automated urinalysis test66$199$3
Infusion, normal saline solution , 1000 cc58$105None
Blood glucose (sugar) test performed by hand-held instrument19$60$3
Injection, ceftriaxone sodium, per 250 mg21$55None
Stool analysis for blood to screen for colon tumors11$48$4
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram11$2None
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg17$1None

2016: 14 services

Original Medicare services billed in 2016
Long return visit (40+ min)121$14,604$118
Return visit (30+ min)150$13,535$90
Short return visit (20+ min)122$7,090$57
Injection of drug or substance into vein30$1,744$58
New patient visit (30+ min)15$1,358$91
Infusion into a vein for hydration, 31-60 minutes16$942$59
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less12$925$71
Injection of additional new drug or substance into vein15$548$23
Injection of drug or substance under skin or into muscle14$431$25
Infusion into a vein for hydration, each additional hour22$430$15
Automated urinalysis test59$177$3
Infusion, normal saline solution , 1000 cc44$73None
Injection, ceftriaxone sodium, per 250 mg14$35None
Injection, ondansetron hydrochloride, per 1 mg14$5None

2015: 18 services

Original Medicare services billed in 2015
Long return visit (40+ min)117$16,285$137
Return visit (30+ min)132$12,992$96
Short return visit (20+ min)149$10,359$66
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less31$2,328$73
Injection of drug or substance into vein33$2,084$60
New patient visit (45+ min)14$2,068$148
New patient visit (30+ min)24$1,660$69
Infusion into a vein for hydration, 31-60 minutes23$1,422$62
New patient visit (15+ min)22$1,354$62
Wound closure utilizing tissue adhesive(s) only12$1,319$110
Injection of additional new drug or substance into vein19$527$23
Infusion into a vein for hydration, each additional hour18$455$16
Injection of drug or substance under skin or into muscle14$400$27
Automated urinalysis test62$189$3
Injection, ceftriaxone sodium, per 250 mg26$76None
Infusion, normal saline solution , 1000 cc49$63None
Injection, ranitidine hydrochloride, 25 mg13$22None
Injection, ondansetron hydrochloride, per 1 mg12$3None

2014: 21 services

Original Medicare services billed in 2014
Return visit (30+ min)112$11,317$98
Long return visit (40+ min)68$8,999$132
Short return visit (20+ min)127$8,344$62
New patient visit (30+ min)45$4,120$92
New patient visit (45+ min)20$2,989$149
Injection of drug or substance into vein42$2,457$57
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less32$2,313$68
Infusion into a vein for hydration, 31-60 minutes31$1,797$58
New patient visit (15+ min)28$1,501$54
Short return visit20$872$40
Infusion into a vein for hydration, each additional hour35$672$15
Injection of additional new drug or substance into vein19$560$22
Injection of drug or substance under skin or into muscle11$523$25
Automated urinalysis test42$126$3
Urinalysis, manual test30$103$3
Injection, ceftriaxone sodium, per 250 mg25$73None
Infusion, normal saline solution , 1000 cc60$71None
Injection, morphine sulfate, up to 10 mg11$30None
Injection, ranitidine hydrochloride, 25 mg11$21None
Injection, ondansetron hydrochloride, per 1 mg25$8None
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme14$2None

2013: 4 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making218$30,469$136
Critical care, first 30-74 minutes38$7,048$181
Emergency department visit with moderate level of medical decision making30$2,767$92
Emergency department visit with low level of medical decision making20$1,006$50

Drugs they prescribed that Part D paid

$5,146

Pharmacies billed $5,146 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

262 generic and fewer than 11 brand-name prescriptions · $5,146 in drug cost · 118 antibiotic prescriptions to 106 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Cephalexin32$190$6
Erythromycin12$139$12
Doxycycline Monohydrate21$120$6
Amoxicillin-Clavulanate Potass17$85$5
Prednisone21$44$2
See all 7 drugs
Every Part D drug this clinician prescribed
Cephalexin32$190$6
Erythromycin12$139$12
Doxycycline Monohydrate21$120$6
Amoxicillin-Clavulanate Potass17$85$5
Prednisone21$44$2
Azithromycin13$34$3
Paxlovid20$0$0

Year by year

Part D prescribing by year
2024298208NoneNone$5,146
20233102284% (11)None$4,996
20222882146% (16)None$5,894
20212111689% (19)6%$5,650
202014111212% (17)8%$4,183
201922817511% (25)11%$6,616
20182311756% (13)12%$6,553
20172381768% (19)10%$6,130
201618913811% (20)9%$5,518
201516512818% (30)None$2,769
201418712914% (26)None$4,979
20131188321% (25)None$5,961

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 7 drugs

Part D drugs prescribed in 2023
Doxycycline Monohydrate22$267$12
Paxlovid (Eua)25$267$11
Amoxicillin-Clavulanate Potass23$205$9
Azithromycin26$191$7
Cephalexin29$169$6
Triamcinolone Acetonide13$84$6
Prednisone26$75$3

2022: 8 drugs

Part D drugs prescribed in 2022
Cephalexin51$305$6
Paxlovid (Eua)30$296$10
Amoxicillin-Clavulanate Potass14$152$11
Doxycycline Monohydrate18$151$8
Azithromycin17$94$6
Hydrocodone-Acetaminophen12$61$5
Sulfamethoxazole-Trimethoprim18$59$3
Prednisone17$51$3

2021: 5 drugs

Part D drugs prescribed in 2021
Cephalexin39$200$5
Doxycycline Monohydrate14$131$9
Azithromycin13$108$8
Hydrocodone-Acetaminophen14$79$6
Sulfamethoxazole-Trimethoprim12$52$4

2020: 2 drugs

Part D drugs prescribed in 2020
Cephalexin25$109$4
Hydrocodone-Acetaminophen12$75$6

2019: 6 drugs

Part D drugs prescribed in 2019
Cephalexin42$206$5
Doxycycline Monohydrate12$114$10
Azithromycin14$99$7
Amoxicillin-Clavulanate Potass12$97$8
Hydrocodone-Acetaminophen18$84$5
Prednisone17$69$4

2018: 7 drugs

Part D drugs prescribed in 2018
Cephalexin35$192$5
Erythromycin12$145$12
Azithromycin18$101$6
Ciprofloxacin11$82$7
Doxycycline Monohydrate11$75$7
Sulfamethoxazole-Trimethoprim13$67$5
Prednisone20$62$3

2017: 6 drugs

Part D drugs prescribed in 2017
Cephalexin36$207$6
Levofloxacin15$179$12
Ciprofloxacin14$88$6
Azithromycin11$62$6
Hydrocodone-Acetaminophen13$62$5
Prednisone18$60$3

2016: 5 drugs

Part D drugs prescribed in 2016
Azithromycin14$114$8
Cephalexin20$97$5
Doxycycline Monohydrate13$94$7
Hydrocodone-Acetaminophen11$89$8
Prednisone15$50$3

2015: 3 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen23$127$6
Cephalexin15$113$8
Prednisone13$36$3

2014: 5 drugs

Part D drugs prescribed in 2014
Cephalexin22$141$6
Ciprofloxacin20$128$6
Hydrocodone-Acetaminophen21$116$6
Azithromycin11$92$8
Prednisone15$59$4

2013: 1 drug

Part D drugs prescribed in 2013
Azithromycin11$102$9

Money from drug and device companies

$44 in 2024

A payment is not proof that care is biased.

Payments by company
Kedrion BiopharmaAlbuked$44
2 payments
  • Meals for Albuked · 2024-08-01 · $23
  • Meals for Albuked · 2024-07-18 · $21
See all 2 published payments
Every published payment
Kedrion BiopharmaMeals · 2024-08-01Albuked$23
Kedrion BiopharmaMeals · 2024-07-18Albuked$21

Professional record

NPI
1881911402
Licence
CA A124925, NY 256293, PA MD444611California A124925: Current · expires 2027-02-28
Trained
Perelman School of Med at the University of Pennsylvania, 2008
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2010-04-21
NPI last updated
2020-06-05
NPI record certified
2020-06-05

This is when the NPI record was last certified, not a medical board exam.