Medicare Enrolled

Dr. Shawn Baca, MD

Rheumatology · Delray Beach, FL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
5162 LINTON BLVD, Delray Beach, FL 33484
5614981114
Registered in NPPES since 2006
NPI: 1649373523 verify on NPPES ↗
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? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Baca

Dr. Shawn Baca is a rheumatology specialist in Delray Beach, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Baca performed 183,033 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Baca received a total of $22,281 from 43 pharmaceutical and/or device companies across 1071 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 10% volume in FL $22,281 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
183,033
Medicare services
Top 10% in FL for rheumatology
Not available
Unique patients (not deduplicated)
$11
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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. These counts do not measure clinical quality or years of experience.
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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
1,071
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

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)

ABBVIE INC.
$460
UCB, Inc.
$316
Janssen Biotech, Inc.
$311
Radius Health, Inc.
$248
E.R. Squibb & Sons, L.L.C.
$214
Amgen Inc.
$203
Mallinckrodt Hospital Products Inc.
$203
AstraZeneca Pharmaceuticals LP
$196
GlaxoSmithKline, LLC.
$97
PFIZER INC.
$96
Kiniksa Pharmaceuticals International, plc
$86
Lilly USA, LLC
$83
Alvogen Inc
$74
Boehringer Ingelheim Pharmaceuticals, Inc.
$72
Novartis Pharmaceuticals Corporation
$63
Aurinia Pharma U.S., Inc.
$46
Fresenius Kabi USA, LLC
$43
Organon Llc
$31
GENZYME CORPORATION
$27
SOBI, INC
$23
Actelion Pharmaceuticals US, Inc.
$20
Top 3 companies account for 37.3% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a rheumatology specialist in Delray Beach?
Compare rheumatologists in the Delray Beach area by procedure volume, costs, and industry payment transparency.
Browse rheumatologists nearby

Geographic Context

Rheumatologists in nearby ZIP areas
58
County median income
$81,115
Nearest hospital to ZIP centroid (approximate)
DELRAY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Baca is a mixed practice specialist, with above-average Medicare volume (top 10% in FL), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Baca receive payments from pharmaceutical companies?
Yes. Dr. Baca received a total of $22,281 from 43 companies across 1,071 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →