Medicare Enrolled
Dr. Shawn Baca, MD
Rheumatology · Delray Beach, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Baca from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Baca?
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What this data tells you about Dr. Baca
Dr. Shawn Baca is a rheumatology specialist in Delray Beach, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Baca performed 183,033 Medicare services across 11,997 unique beneficiaries.
Between the years covered by Open Payments, Dr. Baca received a total of $22,281 from 43 pharmaceutical and/or device companies across 1071 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Baca is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 10% volume in FL
$22,281 industry payments
Medicare Practice Summary
Medicare Utilization ↗183,033
Medicare services
Top 10% in FL for rheumatology
11,997
Unique beneficiaries
$11
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~9,633 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Certolizumab injection (Cimzia) An injection of certolizumab pegol administered under the direct supervision of a physician. |
48,800 | $4 | $10 |
| Tocilizumab injection (Actemra) | 40,400 | $5 | $7 |
| Romosozumab injection (Evenity) for osteoporosis | 36,960 | $8 | $15 |
| Denosumab injection (Prolia/Xgeva) | 26,700 | $18 | $25 |
| Abatacept infusion (Orencia) An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered. |
7,700 | $34 | $60 |
| Golimumab infusion (Simponi Aria) Administration of golimumab medication directly into a vein. This code specifies the dosage amount of 1 milligram for intravenous delivery. |
4,100 | $10 | $32 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,838 | $100 | $271 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,643 | $8 | $10 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
1,162 | $59 | $159 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
950 | $5 | $11 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
929 | $29 | $73 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
924 | $67 | $191 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
874 | $5 | $10 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
826 | $4 | $10 |
| Blood potassium level test A blood test that measures the amount of potassium in your body. Potassium is an electrolyte that helps control heart and muscle function. |
794 | $5 | $10 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
792 | $4 | $10 |
| Blood sodium level test A laboratory test that measures the amount of sodium in your blood. Sodium is an electrolyte that helps regulate fluid balance and nerve function. |
789 | $5 | $10 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
682 | $4 | $9 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
651 | $5 | $13 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
633 | $8 | $19 |
| Liver function blood test panel | 605 | $8 | $20 |
| Injection, methylprednisolone acetate, 40 mg | 367 | $6 | $12 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
349 | $5 | $10 |
| Alkaline phosphatase isoenzyme test A blood test that measures specific forms of the alkaline phosphatase enzyme to help identify the source of elevated enzyme levels. |
347 | $14 | $30 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
313 | $39 | $79 |
| Autoimmune disorder antibody test A laboratory test that measures antibodies in the blood to help assess for autoimmune disorders. |
230 | $18 | $89 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
206 | $59 | $149 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
203 | $100 | $205 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
187 | $40 | $102 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
162 | $127 | $354 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
144 | $12 | $30 |
| Complement and antigen measurement A laboratory test to measure levels of complement proteins and antigens in the blood. |
134 | $12 | $59 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
132 | $16 | $42 |
| Rheumatoid factor analysis | 119 | $6 | $14 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
107 | $39 | $116 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
101 | $6 | $16 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
99 | $49 | $132 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
95 | $6 | $45 |
| Immunoassay substance analysis, multiple step method A laboratory test that uses an immunoassay technique to analyze a substance. The process involves multiple steps to detect or measure the target material. |
91 | $11 | $28 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
89 | $9 | $22 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
63 | $4 | $11 |
| Screening test for antibody to noninfectious agent A laboratory test that screens for the presence of antibodies produced in response to a noninfectious agent. |
63 | $12 | $29 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
63 | $87 | $237 |
| DNA antibody test (native or double-stranded) A blood test that measures the level of antibodies targeting native or double-stranded DNA. This test is used to detect the presence of these specific antibodies in the body. |
61 | $13 | $34 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
49 | $3 | $7 |
| Hyaluronan injection (Euflexxa) for joint An injection of hyaluronan or its derivative, specifically Euflexxa, administered directly into a joint space. |
46 | $99 | $300 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
44 | $13 | $65 |
| Injection, hydrocortisone sodium succinate, up to 100 mg | 44 | $14 | $20 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
38 | $27 | $71 |
| Total cortisol level test A blood test that measures the total amount of cortisol hormone in your body. Cortisol is a hormone produced by the adrenal glands. |
34 | $16 | $40 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
33 | $1 | $10 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
32 | $27 | $71 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
26 | $40 | $114 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
22 | $147 | $379 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
22 | $9 | $22 |
| New patient office visit, complex (60-74 min) | 21 | $165 | $468 |
| Iron level test | 19 | $6 | $16 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
19 | $72 | $89 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
19 | $49 | $105 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
19 | $32 | $59 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
16 | $44 | $120 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
15 | $33 | $79 |
| Autoimmune disorder antibody titer test A blood test that measures the level of specific antibodies to help assess autoimmune disorders. |
14 | $11 | $30 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
12 | $43 | $116 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
12 | $27 | $68 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
6.6% high complexity
84.8% medium
8.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$22,281
Total received (2018-2024)
Avg $3,183/year across 7 years
Top 21% in FL for rheumatology
43
Companies
1,071
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$18,534 (83.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,748 (16.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,912
2023
$4,178
2022
$2,746
2021
$1,757
2020
$682
2019
$3,256
2018
$6,751
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AbbVie, Inc.
$3,932
Amgen Inc.
$2,473
Novartis Pharmaceuticals Corporation
$1,680
Janssen Biotech, Inc.
$1,582
AstraZeneca Pharmaceuticals LP
$1,520
UCB, Inc.
$1,218
AbbVie Inc.
$997
Lilly USA, LLC
$953
Radius Health, Inc.
$775
E.R. Squibb & Sons, L.L.C.
$757
ABBVIE INC.
$685
PFIZER INC.
$674
GlaxoSmithKline, LLC.
$638
Horizon Therapeutics plc
$578
GENZYME CORPORATION
$454
Mallinckrodt Hospital Products Inc.
$376
Genentech USA, Inc.
$347
Johnson & Johnson Health Care Systems Inc.
$335
Boehringer Ingelheim Pharmaceuticals, Inc.
$278
Mallinckrodt LLC
$243
Celgene Corporation
$193
Sobi, Inc
$188
SANOFI-AVENTIS U.S. LLC
$157
Mallinckrodt Enterprises LLC
$139
Aurinia Pharma U.S., Inc.
$137
Takeda Pharmaceuticals U.S.A., Inc.
$133
Actelion Pharmaceuticals US, Inc.
$126
Janssen Scientific Affairs, LLC
$107
Alvogen Inc
$101
Kiniksa Pharmaceuticals International, plc
$86
Horizon Pharma plc
$68
Organon LLC
$66
SOBI, INC
$46
Fresenius Kabi USA, LLC
$43
Organon Llc
$31
Merck Sharp & Dohme Corporation
$29
Alexion Pharmaceuticals, Inc.
$26
Kiniksa Pharmaceuticals, Ltd.
$21
Almatica Pharma LLC
$21
Hikma Pharmaceuticals USA
$18
Bioventus LLC
$18
MEDEXUS PHARMA, INC.
$16
West-Ward Pharmaceuticals
$16
Top 3 companies account for 36.3% of total payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · Actemra · Arcalyst · BENLYSTA · Bimzelx · COSENTYX · CYLTEZO · Cimzia · EVENITY · Enbrel · FORTEO · GELSYN 3 · GRALISE · HADLIMA · HUMIRA · Humira · IDACIO · ILARIS · INFLECTRA · KEVZARA · KINERET · KRYSTEXXA · Kineret · LUPKYNIS · LYRICA · Mitigare · NO PRODUCT DISCUSSED · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENCIA · Otezla · PENNSAID · Prolia · RAYOS · REMICADE · RENFLEXIS · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMPONI · SIMPONI ARIA · SKYRIZI · STELARA · Strensiq · TALTZ · TERIPARATIDE · TREMFYA · Tymlos · UPTRAVI · Uloric · XELJANZ
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (83%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $12 per 100 Medicare services performed
Geographic Context
Rheumatologists within 10 mi
58
Per 100K population
3.8
County median income
$81,115
Nearest hospital
DELRAY MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Baca is a mixed practice specialist, with above-average Medicare volume (top 10% in FL), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Baca experienced with certolizumab injection (cimzia)?
Based on Medicare claims data, Dr. Baca performed 48,800 certolizumab injection (cimzia) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Baca receive payments from pharmaceutical companies?
Yes. Dr. Baca received a total of $22,281 from 43 companies across 1,071 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Baca's costs compare to other rheumatologists in Delray Beach?
Dr. Baca's average Medicare payment per service is $11. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Baca) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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