PROVIDER PROFILE · NPI 1669460655

Rafael De La CruzMD

Infectious DiseaseAlton, ILI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

727

Unique beneficiaries

—

Total services

1,395

Distinct HCPCS

Medicare payment

$78K

Peer benchmark

Total Medicare services vs. 271 Infectious Disease providers in IL — above median (cohort median 701).

PRESCRIBING · PART D · 2024

Total Rx claims

944

Beneficiaries

—

Total drug cost

$331K

Distinct drugs

Brand share

27.8%

Top prescribed drugs

Doxycycline Hyclate140 claims

Cephalexin116 claims

Ceftriaxone Sodium78 claims

Daptomycin67 claims

Meropenem65 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$154

Payment records

By payment type

Food and Beverage$154

REFERRAL NETWORK

Where Rafael 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). 32 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Theodore Vander Velde Diagnostic Radiology · Saint Louis, MO	50	119
SHADY, KEVIN	49	129
ESSMA, SAMUEL	49	150
ALTON MEMORIAL HOSPITAL	44	123
Puja Gurung Sleep Medicine · Alton, IL	41	156
Janaki Narravula Family Practice · Gainesville, GA	39	107
St. Charles County Ambulance District Ambulance Service Provider · Saint Peters, MO	37	102
MISSOURI BAPTIST MEDICAL CENTER	36	503
Joelle Biernacki Diagnostic Radiology · Saint Louis, MO	35	118
Nadia Zia Internal Medicine · O Fallon, MO	33	148
Neal Holzum Internal Medicine · O Fallon, MO	30	141
Eric Guenther Hospitalist · Saint Louis, MO	29	87

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