Medicare Enrolled

Dr. Astrid Sande, M.D.

Psychiatry · Melbourne, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
6767 N WICKHAM RD, Melbourne, FL 32940
3217511925
Registered in NPPES since 2009
NPI: 1578799300 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. Sande 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. Sande? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Sande

Dr. Astrid Sande is a psychiatry specialist in Melbourne, FL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Sande performed 507 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Sande received a total of $2,875 from 22 pharmaceutical and/or device companies across 173 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Sande 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.

✓ 17 years of NPI registration ▲ Top 34% volume in FL $2,875 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 101874 Clear January 31, 2028 —
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 — 2023

Medicare Utilization ↗
507
Medicare services
Top 34% in FL for psychiatry
Not available
Unique patients (not deduplicated)
$67
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
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.
 269 $82 $150
Psychotherapy and evaluation, 30 minutes
A combined session involving psychotherapy and an evaluation and management visit lasting 30 minutes.
 238 $49 $100
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,875
Total received (2018-2024)
Avg $411/year across 7 years
Top 22% in FL for psychiatry
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
173
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$230
2023
$650
2022
$576
2021
$136
2020
$148
2019
$569
2018
$568

Payments by company (2024)

Axsome Therapeutics, Inc.
$61
ABBVIE INC.
$59
Janssen Pharmaceuticals, Inc
$49
Otsuka America Pharmaceutical, Inc.
$42
Takeda Pharmaceuticals U.S.A., Inc.
$20
Top 3 companies account for 73.3% of 2024 payments
All-time payments by company (2018-2024) ›
Otsuka America Pharmaceutical, Inc.
$422
Takeda Pharmaceuticals U.S.A., Inc.
$320
Lundbeck LLC
$256
Allergan Inc.
$240
AbbVie Inc.
$210
ABBVIE INC.
$209
Bausch Health US, LLC
$158
Janssen Pharmaceuticals, Inc
$138
Axsome Therapeutics, Inc.
$133
ITI, Inc.
$107
Avanir Pharmaceuticals, Inc.
$103
Almatica Pharma LLC
$97
Neos Therapeutics, LP
$84
Neurocrine Biosciences, Inc.
$82
Teva Pharmaceuticals USA, Inc.
$80
Shire North American Group Inc
$70
Corium, LLC
$40
IDORSIA PHARMACEUTICALS US INC
$32
Alfasigma USA, Inc.
$29
Merck Sharp & Dohme Corporation
$25
Adlon Therapeutics L.P.
$25
Tris Pharma Inc
$14
Top 3 companies account for 34.7% of all-time payments
Associated products mentioned in payments ›
ADHANSIA XR · APLENZIN · AUSTEDO · AZSTARYS · Adzenys XR-ODT · Austedo XR · Auvelity · BELSOMRA · BRINTELLIX · CAPLYTA · Dyanavel XR · GRALISE · INGREZZA · MYDAYIS · NUEDEXTA · QUVIVIQ · REXULTI · SPRAVATO · TRINTELLIX · Trintellix · VRAYLAR · VYVANSE · Vyvanse · WELLBUTRIN
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a psychiatry specialist in Melbourne?
Compare psychiatrists in the Melbourne area by procedure volume, costs, and industry payment transparency.
Browse psychiatrists nearby

Geographic Context

Psychiatrists in nearby ZIP areas
47
County median income
$75,817
Nearest hospital to ZIP centroid (approximate)
VIERA HOSPITAL
0.0 mi

Data Sources

Provider Registry ✓ NPPES NPPES snapshot; verify current record
Medicare Enrollment ✓ PECOS PECOS snapshot
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not included 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. Sande is a clinical cardiology specialist, with moderate Medicare volume, with 17 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. Sande experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Sande performed 269 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Sande receive payments from pharmaceutical companies?
Yes. Dr. Sande received a total of $2,875 from 22 companies across 173 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Sande's costs compare to other psychiatrists in Melbourne?
Dr. Sande's average Medicare payment per service is $67. 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. Sande) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →

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About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →