Medicare Enrolled

Dr. Patricia Balcacer De La Cruz, M.D.

Radiation Oncology · Miami, FL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
1475 NW 12TH AVE, Miami, FL 33136
3052435512
In practice since 2010 (15 years)
NPI: 1407160419 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. Balcacer De La Cruz 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 →
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What this data tells you about Dr. Balcacer De La Cruz

Dr. Patricia Balcacer De La Cruz is a radiation oncology specialist in Miami, FL, with 15 years of NPI registration. Based on federal Medicare data, Dr. Balcacer De La Cruz performed 7,828 Medicare services across 1,059 unique beneficiaries.

Between the years covered by Open Payments, Dr. Balcacer De La Cruz received a total of $37 from 1 pharmaceutical and/or device company across 2 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. 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. Balcacer De La Cruz 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.

✓ 15 years in practice ▲ Top 24% volume in FL $37 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 124475 Clear January 31, 2027
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
7,828
Medicare services
Top 24% in FL for radiation oncology
1,059
Unique beneficiaries
$11
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~522 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
Contrast dye for imaging (iodine-based)
A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures.
5,726 $0 $5
Gadolinium MRI contrast injection
Administration of a gadolinium-based contrast agent to enhance magnetic resonance imaging. The dose is measured per milliliter of the agent injected.
1,168 $1 $22
Chest X-ray, 1 view
An X-ray image of the chest taken from a single angle. This imaging test is used to visualize the structures within the chest cavity.
171 $8 $139
CT scan of abdomen and pelvis with contrast
A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas.
78 $153 $3,901
CT scan of chest, without contrast
A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye.
75 $90 $3,035
CT scan of chest with contrast
A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures.
74 $64 $2,293
CT scan of chest blood vessels with contrast
A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest.
68 $73 $1,316
MRI of pelvis with and without contrast
A magnetic resonance imaging scan of the pelvic area performed both before and after the administration of a contrast dye to enhance image detail.
60 $219 $3,748
MRI of abdomen with and without contrast
An MRI scan of the abdomen using contrast dye before and after administration to create detailed images of internal structures.
57 $220 $4,063
Ultrasound of head and neck soft tissue
This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation.
38 $89 $899
Complete ultrasound of retroperitoneum
An ultrasound examination of the structures located behind the abdominal cavity.
36 $76 $1,425
CT scan of abdomen and pelvis, without contrast
A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye.
32 $121 $5,227
MRI of abdomen without contrast
An MRI scan of the abdomen that uses magnetic fields and radio waves to create detailed images of internal organs and tissues without the use of contrast dye.
29 $58 $823
Limited retroperitoneal ultrasound
A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures.
29 $43 $1,468
Chest X-ray, 2 views
An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall.
26 $12 $241
CT scan of abdomen and pelvis with contrast
A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures.
24 $254 $7,670
Complete ultrasound of abdomen
A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen.
24 $83 $1,844
Transvaginal pelvic ultrasound
An ultrasound exam using a probe inserted into the vagina to image the uterus, ovaries, fallopian tubes, cervix, and surrounding pelvic structures.
24 $102 $1,291
Complete pelvic ultrasound
An imaging test using sound waves to create pictures of the organs and structures within the pelvis.
23 $90 $1,630
Limited abdominal ultrasound
A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures.
20 $70 $1,501
Abdominal X-ray, 1 view
An X-ray image of the abdomen taken from a single angle to visualize internal structures.
17 $8 $139
Limited ultrasound of pelvis
A focused ultrasound exam of the pelvic area to evaluate specific structures. This procedure provides images of the pelvis to assist in medical assessment.
16 $19 $238
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
13 $8 $130
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.

Industry Payment Transparency

Open Payments through 2023 ↗
$37
Total received (2022-2023)
Avg $18/year across 2 years
Bottom 20% in FL for radiation oncology
1
Company
2
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
$37 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$14
2022
$23

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$37
Top 3 companies account for 100.0% of total payments
Associated products mentioned in payments ›
EXALT Model D · SpyGlass
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $0 per 100 Medicare services performed
Looking for a radiation oncology specialist in Miami?
Compare radiation oncologists in the Miami area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Radiation oncologists within 10 mi
468
Per 100K population
17.4
County median income
$68,694
Nearest hospital
JACKSON HEALTH SYSTEM
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 2023
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. Balcacer De La Cruz is a mixed practice specialist, with above-average Medicare volume (top 24% in FL), with low-engagement industry engagement, with 15 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. Balcacer De La Cruz experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Balcacer De La Cruz performed 5,726 contrast dye for imaging (iodine-based) 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. Balcacer De La Cruz receive payments from pharmaceutical companies?
Yes. Dr. Balcacer De La Cruz received a total of $37 from 1 company across 2 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. Balcacer De La Cruz's costs compare to other radiation oncologists in Miami?
Dr. Balcacer De La Cruz'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. Balcacer De La Cruz) 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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →