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PROVIDER PROFILE · NPI 1447363130

Nivia Cruz-OrtizM.D.

NephrologySan Juan, PRI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
23
Unique beneficiaries
—
Total services
44
Distinct HCPCS
1
Medicare payment
$3K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 104 Nephrology providers in PR — above median (cohort median 141).
PRESCRIBING · PART D · 2024
Total Rx claims
1,981
Beneficiaries
—
Total drug cost
$143K
Distinct drugs
55
Brand share
31.4%
Top prescribed drugs
Sulfamethoxazole/Trimethoprim307 claims
Famotidine223 claims
Prednisone95 claims
Sevelamer Carbonate65 claims
Rosuvastatin Calcium62 claims
REFERRAL NETWORK

Where Nivia Cruz-Ortiz'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). 5 inbound referrers · 15 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.91808
Spectra East, Inc.
Clinical Laboratory · Rockleigh, NJ
46466
RENDON, WILFREDO30133
BIO-MEDICAL APPLICATIONS OF SAN JUAN, INC.26498
Ferdinand Rivera Ortiz
Nephrology · San Juan, PR
2581
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.71638
William Cruz
Diagnostic Radiology · San Juan, PR
57470
Spectra East, Inc.
Clinical Laboratory · Rockleigh, NJ
43476
Ivelisse Rivera Borges
Nephrology · San Juan, PR
29236
Ferdinand Rivera Ortiz
Nephrology · San Juan, PR
28135
NPI 165935211025163
BIO-MEDICAL APPLICATIONS OF SAN JUAN, INC.25279
RENDON, WILFREDO23107
Jorge Bertran Pasarell
Infectious Disease · Hato Rey, PR
2297
Veronica Meza-Venencia
Nephrology · San Juan, PR
2157
Pedro Hernandez
General Surgery · San Juan, PR
1524
Rosa Orsini Chevere
Nuclear Medicine · Hato Rey, PR
1450
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$139
Payment records
6
By payment type
Food and Beverage$139
QUALITY · MIPS · 2024
Final MIPS score
78.6
Quality
66.2
Cost
74.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.15%
Group