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) 5,726 $0 $5
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,168 $1 $22
Chest X-ray, 1 view 171 $8 $139
CT scan of abdomen and pelvis with contrast 78 $153 $3,901
CT scan of chest, without contrast 75 $90 $3,035
Ct scan of chest with contrast 74 $64 $2,293
Ct scan of blood vessels of chest with contrast 68 $73 $1,316
Mri scan of pelvis before and after contrast 60 $219 $3,748
Mri scan of abdomen before and after contrast 57 $220 $4,063
Ultrasound scan of head and neck soft tissue 38 $89 $899
Complete ultrasound scan behind abdominal cavity 36 $76 $1,425
Ct scan of abdomen and pelvis without contrast 32 $121 $5,227
Mri scan of abdomen without contrast 29 $58 $823
Limited ultrasound scan behind abdominal cavity 29 $43 $1,468
Chest X-ray, 2 views 26 $12 $241
Ct scan of abdomen and pelvis before and after contrast 24 $254 $7,670
Complete ultrasound scan of abdomen 24 $83 $1,844
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 24 $102 $1,291
Complete ultrasound scan of pelvis 23 $90 $1,630
Limited ultrasound scan of abdomen 20 $70 $1,501
X-ray of abdomen, 1 view 17 $8 $139
Limited ultrasound scan of pelvis 16 $19 $238
Knee X-ray, 3 views 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 →