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

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