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PROVIDER PROFILE · NPI 1467483073

Nestor De La Cruz-MunozM.D.

PRACTICENESTOR DE LA CRUZ-MUNOZ, MD, PASee all providers at this practice →
General SurgeryDoral, FLI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
58
Beneficiaries
—
Total drug cost
$6K
Distinct drugs
3
Brand share
0.0%
Top prescribed drugs
Omeprazole21 claims
Ursodiol19 claims
Sucralfate18 claims
QUALITY · MIPS · 2024
Final MIPS score
87.9
Quality
78.8
Cost
71.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.54%
Group
REFERRAL NETWORK

Where Nestor De La Cruz-Munoz'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). 4 inbound referrers · 11 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY OF MIAMI92385
Allan Fishman
Diagnostic Radiology · Miami, FL
2433
SIMON, STEVEN1635
NPI 10031482711433
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF MIAMI54169
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Miramar, FL
45300
UNIVERSITY OF MIAMI3058
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS2673
Noel Emmanuelli
Registered Dietitian or Nutrition Professional · Miami, FL
2493
SIMON, STEVEN1723
Shirley Gazabon
Psychologist, Clinical · Miami, FL
1434
Jose Dergan
Psychologist, Clinical · Doral, FL
1429
Nilesh Kashikar
Pathology · Greensboro, NC
1339
Allan Fishman
Diagnostic Radiology · Miami, FL
1320
Monica Garcia-Buitrago
Pathology · Miami, FL
1246
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
$22K
Payment records
56
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$12K
Education$5K
Travel and Lodging$4K
Food and Beverage$948
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
53
Unique beneficiaries
—
Total services
55
Distinct HCPCS
3
Medicare payment
$27K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,308 General Surgery providers in FL — bottom quintile (cohort median 298).