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Luis De La Cruz

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NPI Number Detailed Information

Provider Information:

Name: Luis De La Cruz
Gender: M
Provider License Number If Given: 28826

NPI Information:

NPI: 1033138912
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/19/2006

Last Update Date: 12/30/2015

Reputation Report:

Provider Business Mailing Address:

Address: 151 HAROLD FLEMING COURT
Spartanburg, SC 29303
Phone Number: 8645736320
Fax Number: 8645736323

Provider Business Practice Location Address:

Address: 151 HAROLD FLEMING COURT
Spartanburg, SC 29303
Phone Number: 8645736320
Fax Number: 8645736323

Provider Taxonomy:

Primary: 207RS0012X
Secondary (if any): 207RP1001X
State: SC

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About Luis De La Cruz

Luis De La Cruz ( LUIS DE LA CRUZ ) is An Internal Medicine Physician in Spartanburg, SC. The NPI Number for Luis De La Cruz is 1033138912.
The current location address for Luis De La Cruz is 151 HAROLD FLEMING COURT Spartanburg, SC 29303 and the contact number is 8645736320 and fax number is 8645736323. The mailing address for Luis De La Cruz is 151 HAROLD FLEMING COURT Spartanburg, SC 29303- 8645736320 (mailing address contact number - 8645736320).
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Provider Business Location on Map

FAQs:

What is the NPI Number for Luis De La Cruz ?


Answer: The NPI Number for Luis De La Cruz is 1033138912

Where is Luis De La Cruz located?


Answer: Luis De La Cruz is located at 151 HAROLD FLEMING COURT Spartanburg, SC 29303.

What is the specialty for Luis De La Cruz ?


Answer: The Specialty of Luis De La Cruz is An Internal Medicine Physician.

Are there any online reviews for Luis De La Cruz ?


Answer: Yes! Check It Now.

Are there any other health care providers in Spartanburg, SC?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Luis De La Cruz

Number of HCPCS 38
Number of Medicare Beneficiaries 683
Number of Services 1490
Total Submitted Charge Amount 328580.59
Total Medicare Allowed Amount 144289.95
Total Medicare Payment Amount 110577.55
Total Medicare Standardized Payment Amount 117274.45
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 2
Number of Medicare Beneficiaries With Drug Services 14
Number of Drug Services 113
Total Drug Submitted Charge Amount 1255
Total Drug Medicare Allowed Amount 290.2
Total Drug Medicare Payment Amount 262.1
Total Drug Medicare Standardized Payment Amount 256.86
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 36
Number of Medicare Beneficiaries With Medical 683
Number of Medical Services 1377
Total Medical Submitted Charge Amount 327325.59
Total Medical Medicare Allowed Amount 143999.75
Total Medical Medicare Payment Amount 110315.45
Total Medical Medicare Standardized Payment Amount 117017.59
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65 106
Number of Beneficiaries Age 65 to 74 353
Number of Beneficiaries Age 75 to 84 197
Number of Beneficiaries Age Greater 84 27
Number of Female Beneficiaries 339
Number of Male Beneficiaries 344
Number of Non-Hispanic White Beneficiaries 585
Number of Black or African American Beneficiaries 77
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 67
Number of Beneficiaries With Medicare Only Entitlement 616
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.18
Percent (%) of Beneficiaries Identified With Cancer 0.08
Percent (%) of Beneficiaries Identified With Heart Failure 0.27
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.38
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.28
Percent (%) of Beneficiaries Identified With Depression 0.28
Percent (%) of Beneficiaries Identified With Diabetes 0.41
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.68
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.36
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.45
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.02
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.4206

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Pulmonary Disease
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1603
Number of Standardized 30-Day Fills 2305.7333333
Aggregate Cost Paid for All Claims 1374157.09
Number of Day's Supply for All Claims 65695
Number of Medicare Beneficiaries 319
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1125
Including Refills, for Beneficiaries Age 65+ 1664.6
Beneficiaries Age 65+ 1095680.13
Number of Day's Supply for All Claims for Beneficaries Age 65+ 47841
Number of Medicare Beneficiaries Age 65+ 239
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1030
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 573
Aggregate Cost Paid for Generic Drugs 60674.33
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 927
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 650837.32
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 676
Aggregate Cost Paid for Claims Filled by 723319.77
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 770
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 535848.6
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 833
by Low-Income Subsidy 838308.49
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 38
Aggregate Cost Paid for Antibiotic Drugs 336.72
Antibiotic Claims 28
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 69.836990596
Number of Beneficiaries Age Less Than 65 80
Number of Beneficiaries Age 65 to 74 137
Number of Beneficiaries Age 75 to 84 88
Number of Female Beneficiaries 194
Number of Male Beneficiaries 125
Number of Non-Hispanic White 232
Number of Black or African American 68
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 15
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 220
Average Hierarchical Condition Category 1.7691005567

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