What is Nestor Dela Cruz's specialty?

Nestor Dela Cruz (NPI 1609030238) is a Medicare-billing provider whose primary specialty is Pathology in Mobile, AL.

Where does Nestor Dela Cruz practice?

Nestor Dela Cruz practices in Mobile, AL, based on the location reported in the CMS Medicare provider datasets for NPI 1609030238.

How much does Medicare pay Nestor Dela Cruz?

Nestor Dela Cruz (NPI 1609030238) received approximately $7K in total Medicare Part B payments, serving 93 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1609030238

Nestor Dela CruzM.D.

PRACTICEUSA HEALTH PHYSICIAN BILLING SERVICES LLCSee all providers at this practice →

PathologyMobile, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

173

Distinct HCPCS

Medicare payment

$5K

Peer benchmark

Total Medicare services vs. 161 Pathology providers in AL — bottom quintile (cohort median 1,364).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

95.3

Quality

85.8

Cost

75.8

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.85%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$60

Payment records

By payment type

Food and Beverage$60

Top paying entities

Food and Beverage$60

REFERRAL NETWORK

Where Nestor Dela 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). 5 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Ankur Sheth Gastroenterology · Gainesville, GA	37	75
James Morris Gastroenterology · Shreveport, LA	30	49
REDDY, PRATAP	29	34
NALL, LINDA	14	19
Cherie-Ann Nathan Otolaryngology · Shreveport, LA	12	40

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history