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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Antonio Cruz
๐Ÿงด
MDIndividual

Antonio Cruz, MD

NPI: 1063603553
Providence, RI
10 years of data
Micrographic Dermatologic Surgery
$5.8M
Total Payments
21.4K
Beneficiaries
24.5K
Services
3.04x
Markup Ratio

Peer Comparison

95th
percentile in specialty
This provider$5.8M
Specialty median$558.8K

๐Ÿ“‹ Key Findings

1Billed $5.8M over 10 years
23.04x markup ratio (above median)
395th percentile in Micrographic Dermatologic Surgery by payments
49 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.8M in total Medicare payments ranks in the 95th percentile of Micrographic Dermatologic Surgery providers nationally.

Medicare payments to this provider grew 57% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$514.12$181.472.83x$332.65$454.6K1.9K1.8K
2015$565.55$204.702.76x$360.85$451.8K1.8K1.6K
2016$414.52$204.712.02x$209.81$433.5K1.7K1.6K
2017$318.84$156.422.04x$162.42$626.9K4.0K3.3K
2018$334.33$162.352.06x$171.98$631.8K4.2K3.4K
2019$483.93$186.822.59x$297.11$626.2K3.1K2.7K
2020$793.86$245.043.24x$548.82$606.2K2.1K1.9K
2021$868.82$269.563.22x$599.26$683.2K2.2K2.0K
2022$1.6K$387.194.05x$1.2K$582.7K1.6K1.5K
2023$2.3K$413.165.45x$1.8K$715.9K1.9K1.7K

Top Procedures (20)

17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)
$2.2M
4.8K services$463.38/svc2.87x markup
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)
$772.1K
1.7K services$450.99/svc2.90x markup
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals
$672.1K
2.1K services$318.40/svc2.52x markup
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  5.1x markup
$281.8K
1.4K services$196.36/svc5.14x markup
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips
$232.7K
381 services$610.67/svc2.45x markup
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legsโš  5.0x markup
$174.0K
997 services$174.48/svc4.98x markup
17314Removal and microscopic examination of growth of the trunk, arms, or legs
$133.3K
435 services$306.55/svc2.69x markup
99203New patient office or other outpatient visit, typically 30 minutes
$128.6K
1.7K services$77.65/svc2.11x markup
12032Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legsโš  4.4x markup
$96.9K
689 services$140.67/svc4.37x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$96.2K
1.8K services$52.47/svc2.28x markup
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  3.8x markup
$81.3K
111 services$732.84/svc3.81x markup
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)โš  3.1x markup
$81.3K
100 services$812.85/svc3.08x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$69.0K
917 services$75.25/svc2.28x markup
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
$68.2K
227 services$300.33/svc1.48x markup
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  3.3x markup
$67.7K
114 services$593.51/svc3.28x markup
11100Biopsy of single growth of skin and/or tissue
$56.5K
783 services$72.11/svc1.81x markup
13152Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lipsโš  5.2x markup
$55.8K
272 services$205.16/svc5.16x markup
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  4.6x markup
$50.7K
322 services$157.47/svc4.57x markup
17000Destruction of skin growth
$49.7K
1.2K services$40.14/svc2.22x markup
14021Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cmโš  4.6x markup
$42.3K
61 services$692.82/svc4.56x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
17311Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks)4.8K$2.2M$463.382.87x
17313Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks)1.7K$772.1K$450.992.90x
17312Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals2.1K$672.1K$318.402.52x
13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1.4K$281.8K$196.365.14x
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips381$232.7K$610.672.45x
13121Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs997$174.0K$174.484.98x
17314Removal and microscopic examination of growth of the trunk, arms, or legs435$133.3K$306.552.69x
99203New patient office or other outpatient visit, typically 30 minutes1.7K$128.6K$77.652.11x
12032Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs689$96.9K$140.674.37x
99213Established patient office or other outpatient visit, typically 15 minutes1.8K$96.2K$52.472.28x
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet111$81.3K$732.843.81x
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)100$81.3K$812.853.08x
99214Established patient office or other outpatient, visit typically 25 minutes917$69.0K$75.252.28x
J7308Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)227$68.2K$300.331.48x
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet114$67.7K$593.513.28x
11100Biopsy of single growth of skin and/or tissue783$56.5K$72.111.81x
13152Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips272$55.8K$205.165.16x
13131Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet322$50.7K$157.474.57x
17000Destruction of skin growth1.2K$49.7K$40.142.22x
14021Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm61$42.3K$692.824.56x

Markup Analysis

Charge-to-Payment Ratio

3.04x

This provider submits charges 3.04 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.04x means for every $100 Medicare pays, this provider initially charges $304. This is higher than the national average.

Location

Providence, RI

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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