Medicare Enrolled
Dr. Ralph Caselnova, M.D.
Optician · Amityville, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Caselnova 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. Caselnova
Dr. Ralph Caselnova is an optician specialist in Amityville, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Caselnova performed 3,419 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Caselnova received a total of $17,044 from 52 pharmaceutical and/or device companies across 693 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. Caselnova 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 of NPI registration
▲ Top 23% volume in NY
$17,044 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,419
Medicare services
Top 23% in NY for optician
Not available
Unique patients (not deduplicated)
$118
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. |
853 | $113 | $434 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
537 | $73 | $270 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
375 | $164 | $611 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
372 | $37 | $162 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
218 | $98 | $349 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
131 | $12 | $45 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
109 | $422 | $1,565 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
98 | $120 | $447 |
| 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. |
92 | $130 | $522 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
82 | $57 | $246 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
80 | $159 | $591 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
77 | $111 | $406 |
| Cardiac catheterization | 71 | $234 | $1,053 |
| 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. |
51 | $189 | $689 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
47 | $93 | $341 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
43 | $557 | $2,159 |
| 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. |
43 | $162 | $609 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
38 | $14 | $51 |
| 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. |
36 | $79 | $313 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
20 | $47 | $173 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 18 | $346 | $1,338 |
| Iliac or femoral artery angiography with cardiac catheterization An X-ray imaging procedure of the iliac or femoral arteries performed simultaneously with a cardiac catheterization or coronary angiography. The process includes positioning the catheter in the distal aorta. |
15 | $14 | $51 |
| Emergency department visit, moderate complexity An emergency department visit for an established or new patient involving a moderate level of medical decision making. |
13 | $97 | $418 |
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.
14.7% high complexity
26.8% medium
58.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$17,044
Total received (2018-2024)
Avg $2,435/year across 7 years
Top 9% in NY for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
693
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
$1,860
2023
$2,426
2022
$3,439
2021
$1,722
2020
$1,853
2019
$2,716
2018
$3,028
Payments by company (2024)
Novo Nordisk Inc
$230
Bayer Healthcare Pharmaceuticals Inc.
$224
Amgen Inc.
$183
Merck Sharp & Dohme LLC
$138
Novartis Pharmaceuticals Corporation
$135
Abbott Laboratories
$113
Kiniksa Pharmaceuticals International, plc
$113
Kestra Medical Technology Services, Inc.
$103
E.R. Squibb & Sons, L.L.C.
$97
Esperion Therapeutics, Inc.
$89
PFIZER INC.
$59
Actelion Pharmaceuticals US, Inc.
$55
Inari Medical, Inc.
$50
Medtronic, Inc.
$43
AngioDynamics, Inc.
$32
SCPHARMACEUTICALS INC.
$30
Regeneron Healthcare Solutions, Inc.
$29
Daiichi Sankyo Inc.
$25
Janssen Pharmaceuticals, Inc
$25
HEARTFLOW, INC.
$25
Inspire Medical Systems, Inc.
$23
CVRx, Inc.
$22
SANOFI-AVENTIS U.S. LLC
$19
Top 3 companies account for 34.3% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,376
Janssen Pharmaceuticals, Inc
$1,558
Medtronic Vascular, Inc.
$1,332
Inari Medical, Inc.
$1,152
Amgen Inc.
$1,110
Novartis Pharmaceuticals Corporation
$749
Edwards Lifesciences Corporation
$581
Boehringer Ingelheim Pharmaceuticals, Inc.
$554
Actelion Pharmaceuticals US, Inc.
$551
Novo Nordisk Inc
$505
PFIZER INC.
$500
Kowa Pharmaceuticals America, Inc.
$476
E.R. Squibb & Sons, L.L.C.
$473
Esperion Therapeutics, Inc.
$431
AstraZeneca Pharmaceuticals LP
$415
Bayer Healthcare Pharmaceuticals Inc.
$391
Medtronic, Inc.
$347
SANOFI-AVENTIS U.S. LLC
$307
Kestra Medical Technology Services, Inc.
$283
Merck Sharp & Dohme LLC
$259
BOSTON SCIENTIFIC CORPORATION
$257
Bayer HealthCare Pharmaceuticals Inc.
$253
Boston Scientific Corporation
$252
ABIOMED
$190
Siemens Medical Solutions USA, Inc.
$170
Cardiovascular Systems Inc.
$145
Regeneron Healthcare Solutions, Inc.
$140
Lundbeck LLC
$136
NOVARTIS PHARMACEUTICALS CORPORATION
$118
Kiniksa Pharmaceuticals International, plc
$113
Kiniksa Pharmaceuticals, Ltd.
$76
Gilead Sciences, Inc.
$76
Allergan Inc.
$69
Chiesi USA, Inc.
$63
ARBOR PHARMACEUTICALS, INC.
$56
Bardy Diagnostics, Inc.
$55
Lilly USA, LLC
$51
Daiichi Sankyo Inc.
$50
Philips Electronics North America Corporation
$47
Shockwave Medical, Inc
$41
Althera Pharmaceuticals LLC
$39
CHIESI USA, INC.
$33
AngioDynamics, Inc.
$32
Relypsa, Inc.
$30
Avinger Inc.
$30
SCPHARMACEUTICALS INC.
$30
Baxter Healthcare
$27
HEARTFLOW, INC.
$25
HeartFlow, Inc.
$24
Inspire Medical Systems, Inc.
$23
CVRx, Inc.
$22
Merck Sharp & Dohme Corporation
$21
Top 3 companies account for 30.9% of all-time payments
Associated products mentioned in payments ›
ACUSON Redwood Diagnostic Ultrasound System · AURYON LASER SYSTEM 100-120 VAC · AZURE XT DR MRI SURESCAN · Absolute Pro vascular stent system · Adempas · Arcalyst · Armada 14 percutaneous catheter · Asahi Fielder coronary guide wire · Assure WCD · BRILINTA · BYSTOLIC · Barostim Neo System · CAMZYOS · CARDIOMEMS · CHANTIX · CLEVIPREX · CLEVIPREX 25MG/50ML · CLEVIPREX 50MG/100ML · CLOSUREFAST · CT THROMBECTOMY SYSTEM KIT · CardioMEMS HF System · Carnation Ambulatory Monitor · CoreValve Evolut · Corlanor · Coronary Orbital Atherectomy System · DRAGONFLY OPSTAR · ELIQUIS · EMBOZENE · ENTRESTO · EVKEEZA · Edarbi · Edarbyclor · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FFRct · FLOWTRIEVER CATHETER · FUROSCIX · FlowTriever · HeartMate · Hi-Torque Command guide wire · Hi-Torque Spartacore guide wires · Hi-Torque Supra Core guide wire · Hillrom - Carnation Ambulatory Monitor · IGT_D Peripheral · IN.PACT Admiral · INJECTAFER · INSPIRE · INVOKANA · Image Guided Therapy Devices _ Peripheral · Impella · JARDIANCE · KENGREAL · LEQVIO · LINQ II · Livalo · MICRA · MINI TREK · MITRACLIP · MULTAQ · Micra · Mitra Clip system · MitraClip System · Mosaic · NC TREK NEO · NEXLETOL · NORTHERA · OPSUMIT · OPSUMIT MACITENTAN · OPTIS · Optis Coronary Imaging System · Ozempic · PANTHERIS · PCI Optimization · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Peripheral Orbital Atherectomy System · PressureWire FFR · RESOLUTE ONYX · Ranexa · Repatha · Resolute · Reveal LINQ · Roszet · Rybelsus · S · SAPIEN 3 Ultra RESILIA · SELECTSECURE · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Supera peripheral stent system · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · UPTRAVI · VERQUVO · VYNDAQEL · Vascular Lithotripsy · Veltassa · Verquvo · WATCHMAN · WATCHMAN Access System · Wegovy · Wellcentive Undiv · XARELTO · XIENCE SIERRA · Xience Sierra Coronary Stent · Xience V coronary stent system · ZEPBOUND
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 →
Geographic Context
Opticians in nearby ZIP areas
6,568
County median income
$128,329
Nearest hospital to ZIP centroid (approximate)
BRUNSWICK HOSPITAL CENTER, INC.
0.0 mi
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. Caselnova is a clinical cardiology specialist, with above-average Medicare volume (top 23% in NY), 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. Caselnova experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Caselnova performed 853 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. Caselnova receive payments from pharmaceutical companies?
Yes. Dr. Caselnova received a total of $17,044 from 52 companies across 693 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. Caselnova's costs compare to other opticians in Amityville?
Dr. Caselnova's average Medicare payment per service is $118. 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. Caselnova) 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.
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