Medicare Enrolled

Dr. Sylvia Orandi

Nurse Practitioner - Family · Casselberry, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
985 STATE ROAD 436, Casselberry, FL 32707
4078315252
In practice since 2016 (9 years)
NPI: 1437503794 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. Orandi 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. Orandi? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Orandi

Dr. Sylvia Orandi is a nurse practitioner - family in Casselberry, FL, with 9 years in practice. Based on federal Medicare data, Dr. Orandi performed 1,847 Medicare services across 1,425 unique beneficiaries.

Between the years covered by Open Payments, Dr. Orandi received a total of $3,044 from 40 pharmaceutical and/or device companies across 156 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Orandi 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.

✓ 9 years in practice▲ Top 9% volume in FL$ $3,044 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,847
Medicare services
Top 9% in FL for nurse practitioner - family
1,425
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~205 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)250$51$95
Office visit, established patient (30-39 min)181$71$139
Automated urinalysis147$2$5
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional146$12$26
Comprehensive metabolic blood panel138$10$20
Complete blood count (CBC) with differential130$8$15
Lipid panel (cholesterol and triglycerides)126$13$25
Thyroid stimulating hormone (TSH) test115$16$31
Ldl cholesterol level105$10$18
Hemoglobin A1c test (diabetes monitoring)75$10$18
Annual wellness visit, follow-up72$107$167
Annual depression screening71$15$23
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use37$279$301
Pneumonia vaccine administration32$30$35
Face-to-face behavioral counseling for obesity, 15 minutes30$22$34
Flu vaccine, quadrivalent26$76$99
Drug injection, under skin or into muscle23$9$30
Flu vaccine administration23$30$35
Vitamin D level test21$29$52
Electrocardiogram (EKG), 12-lead17$7$24
Office visit, established patient, complex (40-54 min)16$113$186
Chest X-ray, 2 views15$20$39
Vitamin B-12 level test14$15$27
Detection test by nucleic acid for multiple types influenza virus13$94$125
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen12$50$100
Inhalation treatment for airway obstruction or sputum production12$5$24
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 ↗
$3,044
Total received (2021-2024)
Avg $761/year across 4 years
Top 10% in FL for nurse practitioner - family
40
Companies
156
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
$3,044 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$857
2023
$854
2022
$667
2021
$666

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Teva Pharmaceuticals USA, Inc.
$375
ABBVIE INC.
$234
Astellas Pharma US Inc
$217
Abbott Laboratories
$192
Exact Sciences Corporation
$167
Otsuka America Pharmaceutical, Inc.
$147
GlaxoSmithKline, LLC.
$138
Novo Nordisk Inc
$114
PFIZER INC.
$111
Novartis Pharmaceuticals Corporation
$109
Eisai Inc.
$108
AstraZeneca Pharmaceuticals LP
$87
Amarin Pharma Inc.
$79
Daiichi Sankyo Inc.
$79
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$71
Merck Sharp & Dohme Corporation
$70
Bayer Healthcare Pharmaceuticals Inc.
$54
Amgen Inc.
$48
Lilly USA, LLC
$46
Boehringer Ingelheim Pharmaceuticals, Inc.
$43
Sumitomo Pharma America, Inc.
$42
Nestle HealthCare Nutrition Inc.
$41
SUN PHARMACEUTICAL INDUSTRIES INC.
$40
Janssen Pharmaceuticals, Inc
$37
Bayer HealthCare Pharmaceuticals Inc.
$37
UROVANT SCIENCES INC
$37
Kowa Pharmaceuticals America, Inc.
$36
Merck Sharp & Dohme LLC
$33
Boston Scientific Corporation
$33
Neurocrine Biosciences, Inc.
$27
VIVUS LLC
$26
Sunovion Pharmaceuticals Inc.
$25
Silk Road Medical, Inc.
$24
SANOFI-AVENTIS U.S. LLC
$21
Endo Pharmaceuticals Inc.
$20
Radius Health, Inc.
$19
Adlon Therapeutics L.P.
$16
SANOFI PASTEUR INC.
$14
Phadia US Inc.
$13
EISAI INC.
$13
Top 3 companies account for 27.1% of total payments
Associated products mentioned in payments ›
ADHANSIA XR · AIRSUPRA · AUSTEDO · Austedo XR · BELSOMRA · BREZTRI · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · Dayvigo · ELIQUIS · ENROUTE Transcarotid Neuroprotection System · ENTRESTO · EVENITY · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL 9 · GEMTESA · INGREZZA · INJECTAFER · ImmunoCAP · JARDIANCE · KAPSPARGO · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LOKELMA · Leqembi · Livalo · MYRBETRIQ · Myrbetriq · NASCOBAL · Otezla · Ozempic · PNEUMOVAX 23 · PREMARIN · QSYMIA · QULIPTA · Qsymia · RELISTOR · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SPRAVATO · TRELEGY ELLIPTA · TRULICITY · TZIELD · UBRELVY · VRAYLAR · Vascepa · Veozah · XARELTO · XIFAXAN · ZENPEP
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 10% for nurse practitioner - family in FL.

Equivalent to $165 per 100 Medicare services performed
Looking for a nurse practitioner - family in Casselberry?
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Geographic Context

Nurse Practitioner - Familys within 10 mi
1,908
Per 100K population
401.8
County median income
$83,030
Nearest hospital
OVIEDO MEDICAL CENTER
7.2 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Orandi is a clinical cardiology specialist, with above-average Medicare volume (top 9% in FL), and high industry engagement (low-engagement, top 10%).

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. Orandi experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Orandi performed 250 office visit, established patient (20-29 min) 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. Orandi receive payments from pharmaceutical companies?
Yes. Dr. Orandi received a total of $3,044 from 40 companies across 156 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. Orandi's costs compare to other nurse practitioner - familys in Casselberry?
Dr. Orandi's average Medicare payment per service is $35. 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. Orandi) 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 →