Medicare Enrolled
Dr. Thomas Giancarlo, DO
Neurology · Clinton Township, MI
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. Giancarlo 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. Giancarlo
Dr. Thomas Giancarlo is a neurology specialist in Clinton Township, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Giancarlo performed 13,967 Medicare services across 3,360 unique beneficiaries.
Between the years covered by Open Payments, Dr. Giancarlo received a total of $55,034 from 72 pharmaceutical and/or device companies across 620 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. Giancarlo 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.
✓ 20 years in practice
▲ Top 3% volume in MI
$55,034 industry payments
Medicare Practice Summary
Medicare Utilization ↗13,967
Medicare services
Top 3% in MI for neurology
3,360
Unique beneficiaries
$33
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~698 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 |
|---|---|---|---|
| Botox injection (Xeomin), per unit An injection of incobotulinumtoxin A, a botulinum toxin type A product, administered in a quantity of one unit. |
6,600 | $4 | $17 |
| 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. |
1,812 | $45 | $220 |
| 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. |
1,558 | $77 | $328 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
680 | $19 | $125 |
| 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. |
364 | $128 | $443 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
341 | $1 | $15 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
225 | $60 | $400 |
| 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. |
207 | $76 | $276 |
| Manual therapy (hands-on treatment), per 15 min | 191 | $17 | $125 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
175 | $25 | $100 |
| New patient office visit, complex (60-74 min) | 148 | $157 | $634 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
140 | $43 | $600 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
140 | $0 | $68 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
136 | $50 | $90 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
125 | $27 | $125 |
| Electrical stimulation therapy Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care. |
118 | $7 | $80 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
114 | $1 | $30 |
| 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. |
98 | $11 | $76 |
| 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. |
84 | $112 | $504 |
| Nerve conduction studies, 11-12 A diagnostic test that measures how well nerves send electrical signals. It involves performing 11 to 12 separate nerve conduction studies. |
66 | $190 | $791 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
64 | $44 | $237 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
50 | $73 | $501 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
49 | $30 | $460 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
43 | $74 | $2,850 |
| 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. |
43 | $217 | $908 |
| Awake and drowsy EEG A test that records electrical activity in the brain while the patient is awake and drowsy. |
35 | $297 | $1,081 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
34 | $125 | $562 |
| Evaluation for physical therapy, typically 30 minutes | 33 | $76 | $370 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
32 | $74 | $364 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing patterns, and sleep duration. This test records physiological data while you sleep to assess your sleep quality and breathing function. |
30 | $109 | $400 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
25 | $38 | $50 |
| Injection of anesthetic or steroid into upper neck and back of head nerve An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head. |
23 | $75 | $1,574 |
| Injection, methylprednisolone acetate, 40 mg | 23 | $4 | $22 |
| Placement of skin electrodes and measurement of stimulated sites on arms and legs This procedure involves placing skin electrodes and measuring stimulated sites on the arms and legs. |
19 | $284 | $1,028 |
| VEEG monitoring, 12-26 hours with review This procedure involves monitoring brain wave activity along with video recording for 12 to 26 hours. A healthcare professional reviews the data and provides a report. |
18 | $142 | $665 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
18 | $44 | $103 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
14 | $97 | $475 |
| Additional hour of neuropsychological test evaluation This code covers the evaluation of neuropsychological testing for each additional hour beyond the initial service. It represents the time spent analyzing and interpreting test results. |
14 | $73 | $365 |
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
14 | $27 | $135 |
| 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. |
14 | $28 | $135 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
13 | $104 | $3,462 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
13 | $470 | $2,483 |
| Lumbar puncture with imaging guidance A procedure to remove spinal fluid from the lower back for diagnostic testing, performed using imaging guidance. |
12 | $61 | $813 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
12 | $146 | $681 |
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 ↗$55,034
Total received (2018-2024)
Avg $7,862/year across 7 years
Top 10% in MI for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
72
Companies
620
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
$45,576 (82.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,943 (14.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,515 (2.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$617
2023
$134
2022
$94
2021
$1,287
2020
$2,809
2019
$27,899
2018
$22,194
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$152
ABBVIE INC.
$80
UCB, Inc.
$73
Ultragenyx Pharmaceutical Inc.
$49
Avadel CNS Pharmaceuticals, LLC
$46
ARGENX US, INC.
$40
Novartis Pharmaceuticals Corporation
$35
GE HEALTHCARE
$30
Merz Pharmaceuticals, LLC
$23
Collegium Pharmaceutical, Inc.
$19
Neurocrine Biosciences, Inc.
$19
Genentech USA, Inc.
$18
CATALYST PHARMACEUTICALS, INC.
$17
JAZZ PHARMACEUTICALS INC.
$16
Top 3 companies account for 49.4% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$45,433
Genentech, Inc.
$1,515
Novartis Pharmaceuticals Corporation
$594
EMD Serono, Inc.
$538
Biogen, Inc.
$530
Teva Pharmaceuticals USA, Inc.
$488
GENZYME CORPORATION
$448
Genentech USA, Inc.
$401
UCB, Inc.
$390
US WorldMeds, LLC
$359
PFIZER INC.
$337
Lilly USA, LLC
$329
CSL Behring
$270
Supernus Pharmaceuticals, Inc.
$184
Alnylam Pharmaceuticals Inc.
$164
Allergan Inc.
$161
Daiichi Sankyo Inc.
$156
Lundbeck LLC
$134
BOSTON SCIENTIFIC CORPORATION
$115
ACADIA Pharmaceuticals Inc
$113
Neurelis, Inc.
$111
Mallinckrodt LLC
$107
Alexion Pharmaceuticals, Inc.
$107
ABBVIE INC.
$96
Eisai Inc.
$91
EISAI INC.
$90
AQUESTIVE THERAPEUTICS, INC.
$85
Akcea Therapeutics, Inc.
$83
Bausch Health US, LLC
$81
Nevro Corp.
$77
Medtronic Vascular, Inc.
$72
Grifols USA, LLC
$67
Abbott Laboratories
$65
Acorda Therapeutics, Inc
$65
Sunovion Pharmaceuticals Inc.
$61
Merz North America, Inc.
$61
Collegium Pharmaceutical, Inc.
$58
Ipsen Biopharmaceuticals, Inc
$57
AbbVie, Inc.
$57
Allergan, Inc.
$54
Vertical Pharmaceuticals, LLC
$52
Ultragenyx Pharmaceutical Inc.
$49
GE HEALTHCARE
$49
Avadel CNS Pharmaceuticals, LLC
$46
Mallinckrodt Enterprises LLC
$44
Egalet US Inc
$41
ARGENX US, INC.
$40
Adamas Pharmaceuticals, Inc.
$38
Neurocrine Biosciences, Inc.
$36
Greenwich Biosciences, Inc.
$35
Piramal Critical Care
$31
SK Life Science, Inc.
$28
Bayer HealthCare Pharmaceuticals Inc.
$24
TerSera Therapeutics LLC
$24
MERZ NORTH AMERICA, INC.
$24
Merz Pharmaceuticals, LLC
$23
AbbVie Inc.
$21
Biohaven Pharmaceutical Holding Company Ltd.
$20
Jazz Pharmaceuticals Inc.
$19
Neuronetics, Inc.
$18
Promius Pharma LLC
$17
CATALYST PHARMACEUTICALS, INC.
$17
JAZZ PHARMACEUTICALS INC.
$16
Horizon Therapeutics plc
$15
Celgene Corporation
$15
Boston Scientific Corporation
$14
Bioventus LLC
$13
Zogenix Inc.
$13
LivaNova USA, Inc.
$12
Kaleo, Inc.
$12
Impax Laboratories, Inc.
$11
DePuy Synthes Sales Inc.
$11
Top 3 companies account for 86.4% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AIMOVIG · AJOVY · AMPYRA · APOKYN · APTIOM · AUBAGIO · AUSTEDO · AVONEX · Aimovig · BOTOX · BOTOX COSMETIC · BOTOX THERAPEUTIC · Betaseron · Briviact · DRG IPGs · Dojolvi · Duopa · Durolane · Dysport · EMGALITY · EPIDIOLEX · EVZIO · Epidiolex · FYCOMPA · Fintepla · Fycompa · GABLOFEN · GENERAL PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GILENYA · GOCOVRI · Gamunex-C · Hizentra · INBRIJA · INGREZZA · Infinity DBS Pulse Generators · KESIMPTA · LEMTRADA · LUMIZYME · LUMRYZ · LYRICA · Leqembi · MAYZENT · METHYLPHENIDATE 72 · MIGRANAL · MONOVISC · MYOBLOC · Mavenclad · Morphabond ER · NEUROSTAR TMS THERAPY · NORTHERA · NUPLAZID · NURTEC ODT · OCREVUS · ONFI · ONPATTRO · OXTELLAR XR · Ocrevus Zunovo · POMPE - DISEASE · PRIALT · Prialt · QULIPTA · RELEXXII · RYTARY · Rebif · Reveal LINQ · SOLIRIS · SPRIX · SYMPAZAN · Senza Spinal Cord Stimulation System · TECFIDERA · TEGSEDI · TNKase · TROKENDI XR · TYSABRI · UBRELVY · UPLIZNA · VALTOCO · VNS Therapy · VYEPTI · VYVGART HYTRULO · Vimpat · WELLBUTRIN · XEOMIN · XTAMPZA · XTAMPZAER · Xadago · Xeomin · ZEPOSIA · Zembrace
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 (83%) 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 10% for neurology in MI.
Geographic Context
Neurologists within 10 mi
208
Per 100K population
23.7
County median income
$76,399
Nearest hospital
MCLAREN MACOMB
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. Giancarlo is a clinical cardiology specialist, with above-average Medicare volume (top 3% in MI), with speaking/promotional industry engagement in the top 10% of MI peers, with 20 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. Giancarlo experienced with botox injection (xeomin), per unit?
Based on Medicare claims data, Dr. Giancarlo performed 6,600 botox injection (xeomin), per unit 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. Giancarlo receive payments from pharmaceutical companies?
Yes. Dr. Giancarlo received a total of $55,034 from 72 companies across 620 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. Giancarlo's costs compare to other neurologists in Clinton Township?
Dr. Giancarlo's average Medicare payment per service is $33. 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. Giancarlo) 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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