Medicare Enrolled
Dr. Juan Lacayo, M.D.
Neurology · Loganville, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Lacayo 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. Lacayo
Dr. Juan Lacayo is a neurology specialist in Loganville, GA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Lacayo performed 1,715 Medicare services across 1,134 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lacayo received a total of $176,905 from 93 pharmaceutical and/or device companies across 2300 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Lacayo 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 21% volume in GA
$176,905 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,715
Medicare services
Top 21% in GA for neurology
1,134
Unique beneficiaries
$96
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~95 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 |
|---|---|---|---|
| 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. |
905 | $88 | $222 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
198 | $118 | $311 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
89 | $113 | $332 |
| Limited needle EMG of arm or leg muscles A test that measures the electrical activity in specific muscles of the arm or leg using a needle electrode. This limited study evaluates muscle function in a targeted area. |
60 | $50 | $119 |
| New patient office visit, complex (60-74 min) | 47 | $150 | $419 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
43 | $79 | $183 |
| 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. |
41 | $10 | $49 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
33 | $164 | $443 |
| Awake and drowsy EEG A test that records electrical activity in the brain while the patient is awake and drowsy. |
31 | $289 | $636 |
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
23 | $24 | $74 |
| Punch biopsy of additional skin growth A small circular tool is used to remove a sample of an extra skin growth for laboratory examination. |
22 | $48 | $120 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
22 | $340 | $782 |
| 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. |
21 | $76 | $217 |
| 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. |
20 | $56 | $156 |
| Psychological test administration, each additional 30 minutes A technician administers psychological or neuropsychological testing. This code covers each additional 30-minute increment of administration time. |
19 | $27 | $74 |
| Vestibular function test with thermal irrigation A test that assesses balance by irrigating both ears with warm and cool fluids to evaluate inner ear function. |
15 | $30 | $79 |
| Balance testing with recording A procedure to evaluate balance function by recording the results during testing. |
15 | $82 | $200 |
| Vestibular function test using rotating chair This test evaluates eye movement and balance function by having the patient sit in a rotating chair. It helps assess how the inner ear and brain coordinate to maintain stability. |
15 | $91 | $223 |
| Use of electrodes during balance testing Application of electrodes to monitor physiological responses during a balance assessment. |
15 | $8 | $16 |
| Auditory brainstem response test A test that measures how the brain responds to sound to help diagnose nervous system disorders. The results are interpreted and reported by a medical professional. |
15 | $64 | $168 |
| VEMP testing of inner ear nerve branches This test evaluates the function of the upper and lower branches of the inner ear nerve. It includes the performance of the test along with interpretation and a written report. |
14 | $92 | $243 |
| Ear probe test for repeated sounds A probe is placed in the ear to measure how the ear responds to repeated sounds. The results are interpreted and a report is provided. |
14 | $25 | $113 |
| Nerve conduction studies, 13 or more A diagnostic test that measures how well nerves send electrical signals. This code applies when 13 or more individual nerve studies are performed. |
14 | $218 | $554 |
| Eardrum and muscle function test A diagnostic test used to evaluate the function of the eardrum and associated muscles. |
13 | $17 | $58 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
11 | $95 | $240 |
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 ↗$176,905
Total received (2018-2024)
Avg $25,272/year across 7 years
Top 5% in GA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
93
Companies
2,300
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$141,374 (79.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$32,411 (18.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$3,120 (1.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$15,098
2023
$16,917
2022
$25,232
2021
$43,176
2020
$32,322
2019
$23,987
2018
$20,172
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$8,777
MDD US Operations, LLC
$482
CATALYST PHARMACEUTICALS, INC.
$419
UCB, Inc.
$378
Eisai Inc.
$347
JAZZ PHARMACEUTICALS INC.
$330
PFIZER INC.
$323
Neurocrine Biosciences, Inc.
$322
Neurelis, Inc.
$311
Lilly USA, LLC
$293
EMD Serono, Inc.
$266
SK Life Science, Inc.
$260
E.R. Squibb & Sons, L.L.C.
$226
ARGENX US, INC.
$210
Otsuka America Pharmaceutical, Inc.
$208
Alexion Pharmaceuticals, Inc.
$175
HARMONY BIOSCIENCES LLC
$166
Lundbeck LLC
$161
Takeda Pharmaceuticals U.S.A., Inc.
$157
IDORSIA PHARMACEUTICALS US INC
$135
Teva Pharmaceuticals USA, Inc.
$117
Kyowa Kirin, Inc.
$98
Novartis Pharmaceuticals Corporation
$96
Azurity Pharmaceuticals, Inc.
$84
Supernus Pharmaceuticals, Inc.
$82
Corium, LLC
$79
Sumitomo Pharma America, Inc.
$78
ACADIA Pharmaceuticals Inc
$74
Vanda Pharmaceuticals Inc.
$72
Kedrion Biopharma, Inc.
$64
Amneal Pharmaceuticals LLC
$58
Janssen Pharmaceuticals, Inc
$48
SCILEX PHARMACEUTICALS INC.
$32
Celgene Corporation
$29
Harmony Biosciences Llc
$29
CSL Behring
$24
Genentech USA, Inc.
$24
Grifols USA, LLC
$23
Biogen, Inc.
$22
IRONSHORE PHARMACEUTICALS INC.
$16
Top 3 companies account for 64.1% of 2024 payments
All-time payments by company (2018-2024) ›
Teva Pharmaceuticals USA, Inc.
$35,760
ABBVIE INC.
$34,166
Allergan, Inc.
$19,145
Avanir Pharmaceuticals, Inc.
$15,549
Biohaven Pharmaceuticals, Inc.
$14,073
AbbVie Inc.
$13,812
Supernus Pharmaceuticals, Inc.
$6,728
SK Life Science, Inc.
$4,147
Biohaven Pharmaceutical Holding Company Ltd.
$3,616
UCB, Inc.
$1,966
Eisai Inc.
$1,683
Amgen Inc.
$1,474
Sunovion Pharmaceuticals Inc.
$1,260
JAZZ PHARMACEUTICALS INC.
$1,233
EMD Serono, Inc.
$1,222
Novartis Pharmaceuticals Corporation
$1,020
Lilly USA, LLC
$955
MDD US Operations, LLC
$946
Neurocrine Biosciences, Inc.
$928
Lundbeck LLC
$817
Genentech USA, Inc.
$730
ACADIA Pharmaceuticals Inc
$722
Neurelis, Inc.
$716
Upsher-Smith Laboratories LLC
$669
Sumitomo Pharma America, Inc.
$658
ARGENX US, INC.
$634
Greenwich Biosciences, Inc.
$632
GENZYME CORPORATION
$597
PFIZER INC.
$583
CSL Behring
$552
Takeda Pharmaceuticals U.S.A., Inc.
$550
Kyowa Kirin, Inc.
$538
UPSHER-SMITH LABORATORIES LLC
$522
Alexion Pharmaceuticals, Inc.
$496
Janssen Pharmaceuticals, Inc
$482
Otsuka America Pharmaceutical, Inc.
$481
CATALYST PHARMACEUTICALS, INC.
$419
US WorldMeds, LLC
$403
Allergan Inc.
$398
EISAI INC.
$365
Amneal Pharmaceuticals LLC
$350
Ipsen Biopharmaceuticals, Inc
$313
LivaNova USA, Inc.
$296
Biogen, Inc.
$287
Corium, LLC
$255
E.R. Squibb & Sons, L.L.C.
$226
Harmony Biosciences LLC
$226
Grifols USA, LLC
$199
Adamas Pharmaceuticals, Inc.
$199
HARMONY BIOSCIENCES LLC
$189
Acorda Therapeutics, Inc
$180
IMPEL PHARMACEUTICALS INC.
$179
IDORSIA PHARMACEUTICALS US INC
$176
Shire North American Group Inc
$174
Impax Laboratories, Inc.
$153
Jazz Pharmaceuticals Inc.
$152
Celgene Corporation
$149
Azurity Pharmaceuticals, Inc.
$130
Endo Pharmaceuticals Inc.
$109
AstraZeneca Pharmaceuticals LP
$108
Vertical Pharmaceuticals, LLC
$86
Vanda Pharmaceuticals Inc.
$72
Merck Sharp & Dohme LLC
$67
Mallinckrodt Hospital Products Inc.
$67
Catalyst Pharmaceuticals, Inc.
$67
Kedrion Biopharma, Inc.
$64
Merz Pharmaceuticals, LLC
$64
GE Healthcare
$60
Ironshore Pharmaceuticals Inc.
$59
Currax Pharmaceuticals LLC
$55
Scilex Pharmaceuticals Inc.
$44
Assertio Therapeutics, Inc.
$42
Merz North America, Inc.
$41
AQUESTIVE THERAPEUTICS, INC.
$37
SCILEX PHARMACEUTICALS INC.
$32
Almatica Pharma LLC
$32
Mallinckrodt LLC
$30
Harmony Biosciences Llc
$29
Mallinckrodt Enterprises LLC
$24
Bausch Health US, LLC
$21
Aprecia Pharmaceuticals, LLC
$21
Neos Therapeutics, LP
$21
Avion Pharmaceuticals
$20
SANOFI-AVENTIS U.S. LLC
$19
Promius Pharma LLC
$18
Axsome Therapeutics, Inc.
$18
Ultragenyx Pharmaceutical Inc.
$17
IRONSHORE PHARMACEUTICALS INC.
$16
Arbor Pharmaceuticals, Inc.
$13
ASSERTIO THERAPEUTICS, Inc.
$13
Pernix Therapeutics Holdings, Inc.
$12
Egalet US Inc
$12
ASSERTIO THERAPEUTICS, INC.
$11
Top 3 companies account for 50.3% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ADLARITY · ADUHELM · AFINITOR · AIMOVIG · AJOVY · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · AZSTARYS · Adlarity · Adzenys XR-ODT · Aimovig · Albuked · Austedo XR · Auvelity · Azstarys · BELSOMRA · BOTOX · BOTOX THERAPEUTIC · BRILINTA · BYSTOLIC · Briviact · CAMBIA · COMIRNATY · COPAXONE · CREXONT · Cenobamate · DAYBUE · DUOPA · DYSPORT · Dayvigo · Dhivy · Dysport · EDARBYCLOR · EMGALITY · EPIDIOLEX · Epidiolex · FYCOMPA · Fintepla · Fycompa · GAMMAGARD · GILENYA · GOCOVRI · GRALISE · Gamunex-C · Gocovri · Gralise · HORIZANT · HYQVIA · Haegarda · Hizentra · Horizant · INBRIJA · INGREZZA · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · KESIMPTA · KISUNLA · KYNMOBI · LEMTRADA · LEQEMBI · Leqembi · MAVENCLAD · MIGRANAL · MYDAYIS · MYOBLOC · Mavenclad · NAMZARIC · NAPRELAN · NASCOBAL · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Neupro · Nourianz · Nuedexta · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONFI · ONZETRA XSAIL · OSMOLEX ER · OXTELLAR XR · Ocrevus · Ongentys · PANZYGA · PONVORY · Ponvory · QELBREE · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUVIVIQ · Qelbree · RELEXXII · REXULTI · REYVOW · RYTARY · Rebif · SOLIRIS · SPRAVATO · SPRIX · SUNOSI · SYMPAZAN · Soliris · Spritam · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TREXIMET · TRINTELLIX · TROKENDI XR · TYSABRI · Tosymra Sumatriptan Nasal Spray · Trintellix · Trudhesa · UBRELVY · ULTOMIRIS · VALTOCO · VNS Therapy · VRAYLAR · VYEPTI · VYVANSE · VYVGART · VYVGART HYTRULO · Vimpat · Vyvanse · WAKIX · Wakix · XADAGO · XCOPRI · XEOMIN · XYREM · XYWAV · Xadago · Xeomin · ZAVZPRET · ZEMBRACE SYMTOUCH · ZEPOSIA · ZTLido · Zembrace · Zembrace SymTouch Sumatriptan Injection · Zilbrysq · Zipsor
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 →
The majority of payments (80%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for neurology in GA.
Geographic Context
Neurologists within 10 mi
114
Per 100K population
113.6
County median income
$82,381
Nearest hospital
PIEDMONT EASTSIDE MEDICAL CENTER
7.6 mi
7.6 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. Lacayo is a clinical cardiology specialist, with above-average Medicare volume (top 21% in GA), with speaking/promotional industry engagement in the top 5% of GA 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. Lacayo experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Lacayo performed 905 office visit, established patient (30-39 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. Lacayo receive payments from pharmaceutical companies?
Yes. Dr. Lacayo received a total of $176,905 from 93 companies across 2,300 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. Lacayo's costs compare to other neurologists in Loganville?
Dr. Lacayo's average Medicare payment per service is $96. 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. Lacayo) 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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