Medicare Enrolled
Dr. Kaya Caldwell, M.D.
Legal Medicine · Roswell, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Caldwell 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. Caldwell
Dr. Kaya Caldwell is a legal medicine specialist in Roswell, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Caldwell performed 3,776 Medicare services across 1,376 unique beneficiaries.
Between the years covered by Open Payments, Dr. Caldwell received a total of $21,552 from 75 pharmaceutical and/or device companies across 1100 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in legal 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. Caldwell 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.
✓ 19 years in practice
▲ Top 12% volume in GA
$21,552 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,776
Medicare services
Top 12% in GA for legal medicine
1,376
Unique beneficiaries
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~199 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 2,280 | $18 | $55 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
246 | $4 | $102 |
| 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. |
216 | $111 | $492 |
| 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. |
160 | $10 | $125 |
| 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. |
127 | $85 | $360 |
| 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. |
92 | $55 | $275 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
85 | $31 | $127 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
84 | $72 | $225 |
| 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. |
67 | $11 | $127 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
52 | $6 | $127 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
51 | $13 | $127 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
44 | $15 | $127 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
38 | $31 | $127 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
36 | $281 | $422 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
35 | $38 | $229 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
18 | $26 | $125 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
17 | $127 | $225 |
| Annual depression screening | 17 | $18 | $120 |
| Prolonged preventive service, first 30 minutes This code covers the first 30 minutes of direct patient contact time spent on preventive services that exceeds the typical duration of the primary procedure. It is billed in addition to the code for the primary preventive service. |
17 | $62 | $225 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
15 | $81 | $275 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
15 | $163 | $308 |
| Psychological or neuropsychological test, first 30 minutes Administration of psychological or neuropsychological testing for the first 30 minutes. |
14 | $31 | $175 |
| Additional 30 minutes of psychological or neuropsychological testing This code represents an additional 30-minute increment for administering psychological or neuropsychological tests. It is used to bill for time beyond the initial testing period. |
14 | $29 | $175 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
14 | $6 | $127 |
| Balance and posture test A test to evaluate a patient's balance and posture. This assessment measures stability and body alignment. |
11 | $37 | $175 |
| Annual alcohol misuse screening, 5 to 15 minutes | 11 | $18 | $82 |
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 ↗$21,552
Total received (2018-2024)
Avg $3,079/year across 7 years
Top 20% in GA for legal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
75
Companies
1,100
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
$20,034 (93.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,473 (6.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$46 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,497
2023
$3,395
2022
$2,760
2021
$5,125
2020
$2,105
2019
$2,495
2018
$2,176
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$801
Novo Nordisk Inc
$454
GlaxoSmithKline, LLC.
$289
Amgen Inc.
$247
AstraZeneca Pharmaceuticals LP
$231
Lilly USA, LLC
$204
PFIZER INC.
$197
Astellas Pharma US Inc
$167
Takeda Pharmaceuticals U.S.A., Inc.
$154
Axsome Therapeutics, Inc.
$110
Exact Sciences Corporation
$101
Inspire Medical Systems, Inc.
$89
Bayer Healthcare Pharmaceuticals Inc.
$69
Boston Scientific Corporation
$61
Otsuka America Pharmaceutical, Inc.
$55
Medtronic, Inc.
$34
Merck Sharp & Dohme LLC
$32
SHIELD THERAPEUTICS INC
$29
Echosens North America, Inc.
$25
Lundbeck LLC
$25
Eisai Inc.
$23
Philips North America LLC
$19
Esperion Therapeutics, Inc.
$18
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
IDORSIA PHARMACEUTICALS US INC
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Kowa Pharmaceuticals America, Inc.
$14
Top 3 companies account for 44.1% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,933
Amgen Inc.
$1,850
AbbVie Inc.
$1,771
GlaxoSmithKline, LLC.
$1,565
Biohaven Pharmaceuticals, Inc.
$1,473
ABBVIE INC.
$1,356
AstraZeneca Pharmaceuticals LP
$1,342
Takeda Pharmaceuticals U.S.A., Inc.
$774
Lilly USA, LLC
$724
Allergan Inc.
$644
PFIZER INC.
$639
Allergan, Inc.
$558
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$514
Amarin Pharma Inc.
$480
Boehringer Ingelheim Pharmaceuticals, Inc.
$416
Kowa Pharmaceuticals America, Inc.
$402
Axsome Therapeutics, Inc.
$362
Otsuka America Pharmaceutical, Inc.
$320
Biohaven Pharmaceutical Holding Company Ltd.
$258
Merck Sharp & Dohme Corporation
$238
Astellas Pharma US Inc
$225
Bausch Health US, LLC
$207
Eisai Inc.
$168
Exact Sciences Corporation
$158
Abbott Laboratories
$130
Amneal Pharmaceuticals LLC
$119
Endo Pharmaceuticals Inc.
$104
Esperion Therapeutics, Inc.
$103
Inspire Medical Systems, Inc.
$89
Bayer Healthcare Pharmaceuticals Inc.
$84
Novartis Pharmaceuticals Corporation
$81
SANOFI PASTEUR INC.
$71
Boston Scientific Corporation
$61
VBI Vaccine (Delaware) Inc.
$60
Mannkind Corporation
$59
Teva Pharmaceuticals USA, Inc.
$58
Smith+Nephew, Inc.
$57
Nalpropion Pharmaceuticals LLC
$56
AbbVie, Inc.
$52
SANOFI-AVENTIS U.S. LLC
$52
IDORSIA PHARMACEUTICALS US INC
$50
AMAG Pharmaceuticals, Inc.
$46
Merck Sharp & Dohme LLC
$44
Genentech USA, Inc.
$43
Horizon Therapeutics plc
$42
Currax Pharmaceuticals LLC
$40
Lundbeck LLC
$39
Nalpropion Pharmaceuticals, Inc.
$39
EISAI INC.
$38
Dexcom, Inc.
$37
Paratek Pharmaceuticals, Inc.
$37
Medtronic, Inc.
$34
IRONWOOD PHARMACEUTICALS, INC
$33
IBSA Pharma Inc.
$30
SHIELD THERAPEUTICS INC
$29
TherapeuticsMD, Inc.
$28
Aytu BioScience, Inc
$27
Echosens North America, Inc.
$25
Nevro Corp.
$25
Alexion Pharmaceuticals, Inc.
$22
Ironwood Pharmaceuticals, Inc
$22
Philips North America LLC
$19
VIVUS LLC
$19
Noden Pharma USA Inc
$18
Seqirus USA Inc
$18
IMPEL PHARMACEUTICALS INC.
$16
Mission Pharmacal Company
$15
kaleo, Inc.
$15
Ironshore Pharmaceuticals Inc.
$15
Sanofi Pasteur Inc.
$13
Gilead Sciences, Inc.
$13
Upsher-Smith Laboratories LLC
$12
MAYNE PHARMA COMMERCIAL LLC
$12
ASSERTIO THERAPEUTICS, Inc.
$12
Assertio Therapeutics, Inc.
$12
Top 3 companies account for 30.4% of all-time payments
Associated products mentioned in payments ›
(CK7) Extended Holter · ABILIFY MAINTENA · ACCRUFER · AFREZZA · AIRSUPRA · AJOVY · ANORO ELLIPTA · APLENZIN · AREXVY · AUVI-Q · Aimovig · Amitiza · Androgel · Auvelity · BELSOMRA · BEVESPI AEROSPHERE · BIJUVA · BIRMINGHAM HIP · BOOSTRIX · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · BYVALSON · Belviq · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT · FLUCELVAX QUADRIVALENT · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 2 · Ferralet 90 · FibroScan · GARDASIL · GARDASIL 9 · Gralise · HUMIRA · IMVEXXY · INSPIRE · INTERSTIM · INTRAROSA · JANUVIA · JARDIANCE · Jornay PM 20mg capsules (Bottle of 100) · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LIVALO · LYRICA · Leqembi · Linzess · Livalo · MOTEGRITY · MOUNJARO · MOVANTIK · MYRBETRIQ · Motegrity · NASCOBAL · NEXLETOL · NEXLIZET · NURTEC ODT · NUZYRA · Natesto · OFEV · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · PREVNAR 13 · PREVNAR 20 · PreHevbrio · Prolia · QULIPTA · QUVIVIQ · Qsymia · REXULTI · REYVOW · RINVOQ · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · STEGLUJAN · STRENSIQ · SYMBICORT · SYNTHROID · Saxenda · Senza · Synthroid · TEKTURNA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tirosint · Trintellix · Trudhesa · UBRELVY · UNITHROID · VIBERZI · VIIBRYD · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · WELLBUTRIN · WaveWriter Alpha Prime 16 · Wegovy · XIFAXAN · Xofluza · ZENPEP · ZEPBOUND · 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 →
Most payments (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Legal medicines within 10 mi
11
Per 100K population
1.0
County median income
$91,490
Nearest hospital
WELLSTAR NORTH FULTON MEDICAL CENTER
0.0 mi
0.0 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. Caldwell is a mixed practice specialist, with above-average Medicare volume (top 12% in GA), with low-engagement industry engagement in the top 20% of GA peers, with 19 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. Caldwell experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Caldwell performed 2,280 denosumab injection (prolia/xgeva) 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. Caldwell receive payments from pharmaceutical companies?
Yes. Dr. Caldwell received a total of $21,552 from 75 companies across 1,100 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. Caldwell's costs compare to other legal medicines in Roswell?
Dr. Caldwell's average Medicare payment per service is $31. 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. Caldwell) 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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