PROVIDER PROFILE · NPI 1871726745

James CruzDO

PRACTICEPINNACLE HEALTHSee all providers at this practice →

HospitalistHarrisburg, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

364

Unique beneficiaries

—

Total services

590

Distinct HCPCS

Medicare payment

$52K

Peer benchmark

Total Medicare services vs. 1,139 Hospitalist providers in PA — above median (cohort median 491).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$172

Distinct drugs

Brand share

54.2%

Top prescribed drugs

Cefuroxime Axetil13 claims

Atorvastatin Calcium11 claims

QUALITY · MIPS · 2024

Final MIPS score

86.1

Quality

76.5

Cost

77.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.47%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James 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). 37 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UPMC PINNACLE HOSPITALS	394	1,486
South Central Emergency Medical Services, Inc. Ambulance Service Provider · Harrisburg, PA	40	157
Jason Pennypacker Diagnostic Radiology · Lewisberry, PA	35	111
Patricia Barry-Lane Diagnostic Radiology · Lewisberry, PA	30	96
Charles Austin Diagnostic Radiology · Lewisberry, PA	28	63
Brian Mcinroy Diagnostic Radiology · Lewisberry, PA	28	80
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	27	107
Christoph Pohl Interventional Radiology · Lewisberry, PA	27	98
Christopher Bloomer Diagnostic Radiology · Lewisberry, PA	26	61
Katherine Rose Tigas Family Practice · Charleston, WV	25	239
Jeffery Stahl Cardiology · Buffalo, NY	22	160
Neeti Goel Diagnostic Radiology · Lewisberry, PA	22	53

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