Medicare Enrolled

Dr. Rachel Agustines, MD

Psychiatry · Largo, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1100 CLEARWATER LARGO RD N, Largo, FL 33770
7275186444
In practice since 2006 (20 years)
NPI: 1386617306 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. Agustines 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. Agustines? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Agustines

Dr. Rachel Agustines is a psychiatry in Largo, FL, with 20 years in practice. Based on federal Medicare data, Dr. Agustines performed 380 Medicare services across 185 unique beneficiaries.

Between the years covered by Open Payments, Dr. Agustines received a total of $13,192 from 39 pharmaceutical and/or device companies across 681 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in psychiatry. 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. Agustines 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.

✓ 20 years in practice▲ Top 41% volume in FL$ $13,192 industry payments

Medicare Practice Summary

Medicare Utilization ↗
380
Medicare services
Top 41% in FL for psychiatry
185
Unique beneficiaries
$73
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~19 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)270$61$125
Office visit, established patient (30-39 min)99$98$150
Psychiatric diagnostic evaluation with medical services11$142$300
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 ↗
$13,192
Total received (2018-2024)
Avg $1,885/year across 7 years
Top 6% in FL for psychiatry
39
Companies
681
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
$13,192 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,139
2023
$3,596
2022
$1,059
2021
$1,783
2020
$1,007
2019
$1,338
2018
$1,268

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Neurocrine Biosciences, Inc.
$1,860
Otsuka America Pharmaceutical, Inc.
$1,005
Sunovion Pharmaceuticals Inc.
$969
AbbVie Inc.
$928
Teva Pharmaceuticals USA, Inc.
$907
Axsome Therapeutics, Inc.
$871
ABBVIE INC.
$704
Supernus Pharmaceuticals, Inc.
$702
Alkermes, Inc.
$682
Lundbeck LLC
$531
Tris Pharma Inc
$436
Ironshore Pharmaceuticals Inc.
$388
Allergan Inc.
$386
ITI, Inc.
$316
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$284
IDORSIA PHARMACEUTICALS US INC
$272
Bausch Health US, LLC
$254
Janssen Pharmaceuticals, Inc
$215
Takeda Pharmaceuticals U.S.A., Inc.
$184
Almatica Pharma LLC
$166
Noven Therapeutics, LLC
$140
Shire North American Group Inc
$124
Corium, LLC
$114
JAZZ PHARMACEUTICALS INC.
$101
Biogen, Inc.
$95
Allergan, Inc.
$90
IRONSHORE PHARMACEUTICALS INC.
$88
Neos Therapeutics, LP
$84
Eisai Inc.
$63
LivaNova USA, Inc.
$48
Arbor Pharmaceuticals, Inc.
$33
Merck Sharp & Dohme Corporation
$25
Harmony Biosciences LLC
$22
Corium, Inc.
$20
PFIZER INC.
$19
Vertical Pharmaceuticals, LLC
$18
Alfasigma USA, Inc.
$18
Avanir Pharmaceuticals, Inc.
$16
OWP Pharmaceuticals, Inc.
$15
Top 3 companies account for 29.1% of total payments
Associated products mentioned in payments ›
ABILIFY ASIMTUFII · ABILIFY MAINTENA · APLENZIN · ARISTADA · AUSTEDO · AZSTARYS · Adzenys XR-ODT · Austedo XR · Auvelity · Azstarys · BELSOMRA · BRINTELLIX · CAPLYTA · Cotempla XR-ODT · Dayvigo · Dyanavel XR · Evekeo ODT · GRALISE · INGREZZA · INVEGA · INVEGA SUSTENNA · INVEGA TRINZA · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · LATUDA · LOREEV XR · METHYLPHENIDATE 72 · MYDAYIS · NUEDEXTA · Onyda XR · QELBREE · QUILLICHEW ER · QUVIVIQ · Qelbree · REXULTI · SPRAVATO · SUNOSI · Subvenite · TRINTELLIX · Trintellix · UZEDY · VIIBRYD · VNS - Symmetry · VRAYLAR · VYVANSE · WELLBUTRIN · WELLBUTRIN XL · Wakix · Xelstrym
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 6% for psychiatry in FL.

Equivalent to $3,471 per 100 Medicare services performed
Looking for a psychiatry in Largo?
Compare psychiatrys in the Largo area by procedure volume, costs, and industry payment transparency.
Browse psychiatrys nearby

Geographic Context

Psychiatrys within 10 mi
281
Per 100K population
29.3
County median income
$70,293
Nearest hospital
HCA FLORIDA LARGO HOSPITAL
0.0 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. Agustines is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 6%), with 20 years of practice experience.

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. Agustines experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Agustines performed 270 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. Agustines receive payments from pharmaceutical companies?
Yes. Dr. Agustines received a total of $13,192 from 39 companies across 681 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. Agustines's costs compare to other psychiatrys in Largo?
Dr. Agustines's average Medicare payment per service is $73. 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. Agustines) 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 →