Medicare Enrolled
Dr. Marie Claudette Grageda, MD
Family Medicine · Hollister, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Grageda 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. Grageda
Dr. Marie Claudette Grageda is a family medicine specialist in Hollister, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Grageda performed 23,546 Medicare services across 4,748 unique beneficiaries.
Between the years covered by Open Payments, Dr. Grageda received a total of $13,295 from 37 pharmaceutical and/or device companies across 820 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Grageda 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.
✓ 18 years in practice
▲ Top 0% volume in CA
$13,295 industry payments
Medicare Practice Summary
Medicare Utilization ↗23,546
Medicare services
Top 0% in CA for family medicine
4,748
Unique beneficiaries
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,308 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 |
|---|---|---|---|
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
5,108 | $37 | $100 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
4,330 | $57 | $100 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
3,988 | $45 | $100 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
2,873 | $46 | $100 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
2,287 | $51 | $100 |
| 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. |
744 | $80 | $149 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
709 | $52 | $101 |
| 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. |
667 | $116 | $177 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
632 | $68 | $101 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
410 | $129 | $200 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
368 | $9 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
234 | $157 | $199 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
136 | $37 | $51 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
119 | $22 | $45 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
118 | $13 | $75 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
109 | $13 | $34 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
105 | $24 | $60 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
95 | $3 | $25 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
69 | $13 | $25 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
67 | $74 | $120 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
64 | $1 | $25 |
| 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. |
61 | $79 | $200 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
60 | $18 | $100 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
58 | $52 | $125 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
34 | $196 | $270 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
33 | $1 | $25 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
30 | $45 | $75 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
26 | $41 | $125 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
12 | $32 | $45 |
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 2024 ↗$13,295
Total received (2018-2024)
Avg $1,899/year across 7 years
Top 3% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
820
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
$13,295 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,814
2023
$1,662
2022
$1,399
2021
$1,887
2020
$2,368
2019
$2,712
2018
$1,454
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$607
GlaxoSmithKline, LLC.
$241
ABBVIE INC.
$194
PFIZER INC.
$184
Novo Nordisk Inc
$169
Boehringer Ingelheim Pharmaceuticals, Inc.
$157
Bayer Healthcare Pharmaceuticals Inc.
$62
Dexcom, Inc.
$47
Takeda Pharmaceuticals U.S.A., Inc.
$33
Amgen Inc.
$31
Lilly USA, LLC
$28
Otsuka America Pharmaceutical, Inc.
$26
SHIELD THERAPEUTICS INC
$20
Janssen Pharmaceuticals, Inc
$14
Top 3 companies account for 57.5% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,420
Novo Nordisk Inc
$1,479
GlaxoSmithKline, LLC.
$1,162
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,138
PFIZER INC.
$949
Merck Sharp & Dohme Corporation
$888
Janssen Pharmaceuticals, Inc
$844
ABBVIE INC.
$601
SANOFI-AVENTIS U.S. LLC
$522
Amarin Pharma Inc.
$467
Lilly USA, LLC
$415
Kowa Pharmaceuticals America, Inc.
$276
Abbott Laboratories
$236
Teva Pharmaceuticals USA, Inc.
$204
Merck Sharp & Dohme LLC
$177
E.R. Squibb & Sons, L.L.C.
$170
MAYNE PHARMA INC.
$145
AbbVie Inc.
$139
Bayer Healthcare Pharmaceuticals Inc.
$138
Amgen Inc.
$134
Takeda Pharmaceuticals U.S.A., Inc.
$122
Dexcom, Inc.
$81
Mylan Specialty L.P.
$76
Biohaven Pharmaceuticals, Inc.
$75
Novartis Pharmaceuticals Corporation
$57
Otsuka America Pharmaceutical, Inc.
$54
Xeris Pharmaceuticals, Inc.
$43
Biohaven Pharmaceutical Holding Company Ltd.
$43
SANOFI PASTEUR INC.
$41
Medtronic, Inc.
$36
Mannkind Corporation
$36
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$31
Allergan, Inc.
$22
Lupin Inc.
$21
SHIELD THERAPEUTICS INC
$20
Genentech USA, Inc.
$18
Medtronic Vascular, Inc.
$16
Top 3 companies account for 38.1% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AFREZZA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Amitiza · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREO ELLIPTA · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · DIFICID · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GVOKE HYPOPEN · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LINZESS · LYRICA · Livalo · MENACTRA · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · QULIPTA · REXULTI · Reveal LINQ · Rybelsus · SOLIQUA 100/33 · SOLOSEC · SPIRIVA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · UBRELVY · VIIBRYD · VRAYLAR · Vascepa · VenaSeal · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · Xultophy 100/3.6 · YUPELRI · Yupelri
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. Total industry engagement is in the top 3% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
174
Per 100K population
263.4
County median income
$108,289
Nearest hospital
NATIVIDAD MEDICAL CENTER
22.0 mi
22.0 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Grageda is a clinical cardiology specialist, with above-average Medicare volume (top 0% in CA), with low-engagement industry engagement in the top 3% of CA peers, with 18 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. Grageda experienced with remote vital sign monitoring management, each additional 20 minutes?
Based on Medicare claims data, Dr. Grageda performed 5,108 remote vital sign monitoring management, each additional 20 minutes 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. Grageda receive payments from pharmaceutical companies?
Yes. Dr. Grageda received a total of $13,295 from 37 companies across 820 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. Grageda's costs compare to other family medicine physicians in Hollister?
Dr. Grageda's average Medicare payment per service is $51. 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. Grageda) 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. 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.
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