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PROVIDER PROFILE · NPI 1033138912

Luis De La CruzMD

Pulmonary DiseaseSpartanburg, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 420007
Hospital
CCN 420043
Hospital
CCN 420103
Hospital
CCN 420108
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
1,429
Beneficiaries
—
Total drug cost
$853K
Distinct drugs
23
Brand share
78.1%
Top prescribed drugs
Albuterol Sulfate437 claims
Fluticasone/Umeclidin/Vilanter130 claims
Budesonide/Glycopyr/Formoterol118 claims
Montelukast Sodium94 claims
Fluticasone/Vilanterol71 claims
QUALITY · MIPS · 2024
Final MIPS score
94.0
Quality
89.1
Cost
76.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$5K
Payment records
117
By payment type
Food and Beverage$3K
Travel and Lodging$2K
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,545
Unique beneficiaries
—
Total services
1,810
Distinct HCPCS
18
Medicare payment
$124K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 159 Pulmonary Disease providers in SC — top quintile (cohort median 1,085).
REFERRAL NETWORK

Where Luis De La Cruz's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 73 inbound referrers · 137 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PARNES, NEIL105291
KAVANAGH, JOSEPH98300
Michael Enright
Diagnostic Radiology · Spartanburg, SC
97356
Kelan Brown
Diagnostic Radiology · Spartanburg, SC
86219
GAFFNEY HMA LLC86249
Farhan Siddiqui
Critical Care (Intensivists) · Spartanburg, SC
84328
KURKJIAN, JOSEPH83249
Chandar Abboy
Internal Medicine · Fayetteville, NC
81434
Christian Castillo
Pulmonary Disease · Spartanburg, SC
76360
WARREN, LAWRENCE65168
UPSTATE CAROLINA EMS INC45133
David Rodak
Clinical Cardiac Electrophysiology · Spartanburg, SC
43101
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SPARTANBURG MEDICAL CENTER5242,509
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
101332
Gregory Feldman
Internal Medicine · Columbia, SC
100752
KAVANAGH, JOSEPH89263
Joseph Boscia
Pulmonary Disease · Spartanburg, SC
88584
MARY BLACK HEALTH SYSTEM LLC88254
David Erb
Internal Medicine · Spartanburg, SC
86532
PARNES, NEIL83251
Farhan Siddiqui
Critical Care (Intensivists) · Spartanburg, SC
82507
Chandar Abboy
Internal Medicine · Fayetteville, NC
80563
NEWMAN, JEFFERY80235
Michael Enright
Diagnostic Radiology · Spartanburg, SC
78262
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.