Medicare Enrolled
Dr. Samantha Garigliano, PA-C
Physician Assistant · Middletown, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Garigliano 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. Garigliano
Dr. Samantha Garigliano is a physician assistant in Middletown, NY, with 10 years of NPI registration. Based on federal Medicare data, Dr. Garigliano performed 2,753 Medicare services across 1,938 unique beneficiaries.
Between the years covered by Open Payments, Dr. Garigliano received a total of $6,133 from 26 pharmaceutical and/or device companies across 338 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. 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. Garigliano 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.
✓ 10 years in practice
▲ Top 2% volume in NY
$6,133 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,753
Medicare services
Top 2% in NY for physician assistant
1,938
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~275 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. |
317 | $77 | $140 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
295 | $7 | $8 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
269 | $8 | $8 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
247 | $10 | $11 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
198 | $9 | $10 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
175 | $13 | $13 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
162 | $16 | $17 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
117 | $29 | $30 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
105 | $117 | $141 |
| Annual depression screening | 101 | $17 | $20 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
91 | $9 | $9 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
88 | $7 | $12 |
| 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. |
76 | $70 | $89 |
| Lyme disease antibody test A blood test that checks for antibodies to the bacteria that causes Lyme disease. |
69 | $17 | $17 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
60 | $15 | $15 |
| 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. |
58 | $58 | $103 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
57 | $3 | $3 |
| 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. |
41 | $10 | $17 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
35 | $29 | $30 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
20 | $54 | $98 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
20 | $190 | $301 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
19 | $19 | $19 |
| 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. |
16 | $72 | $73 |
| 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. |
15 | $6 | $6 |
| Iron level test | 14 | $6 | $6 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
14 | $9 | $9 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
13 | $13 | $14 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
13 | $40 | $41 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
13 | $74 | $75 |
| PSA test (prostate cancer screening) | 12 | $18 | $18 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
12 | $41 | $61 |
| 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. |
11 | $102 | $195 |
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 ↗$6,133
Total received (2021-2024)
Avg $1,533/year across 4 years
Top 4% in NY for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
338
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
$6,133 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,177
2023
$1,796
2022
$1,440
2021
$719
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$314
AstraZeneca Pharmaceuticals LP
$241
Lilly USA, LLC
$210
Amgen Inc.
$196
Sumitomo Pharma America, Inc.
$169
PFIZER INC.
$167
E.R. Squibb & Sons, L.L.C.
$145
Exact Sciences Corporation
$112
ABBVIE INC.
$103
Boehringer Ingelheim Pharmaceuticals, Inc.
$89
Otsuka America Pharmaceutical, Inc.
$80
GlaxoSmithKline, LLC.
$72
Mylan Specialty L.P.
$69
Bayer Healthcare Pharmaceuticals Inc.
$65
Phathom Pharmaceuticals, Inc.
$56
Lundbeck LLC
$45
Astellas Pharma US Inc
$43
Top 3 companies account for 35.1% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$762
Lilly USA, LLC
$675
AstraZeneca Pharmaceuticals LP
$674
Amgen Inc.
$601
E.R. Squibb & Sons, L.L.C.
$475
ABBVIE INC.
$465
PFIZER INC.
$397
Boehringer Ingelheim Pharmaceuticals, Inc.
$375
GlaxoSmithKline, LLC.
$320
Otsuka America Pharmaceutical, Inc.
$234
Sumitomo Pharma America, Inc.
$221
Exact Sciences Corporation
$185
Bayer HealthCare Pharmaceuticals Inc.
$129
Mylan Specialty L.P.
$108
Bayer Healthcare Pharmaceuticals Inc.
$108
SANOFI-AVENTIS U.S. LLC
$84
Astellas Pharma US Inc
$62
Phathom Pharmaceuticals, Inc.
$56
Novartis Pharmaceuticals Corporation
$54
Lundbeck LLC
$45
Xeris Pharmaceuticals, Inc.
$24
Intuity Medical Inc
$20
Amarin Pharma Inc.
$18
Merck Sharp & Dohme Corporation
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
AbbVie Inc.
$12
Top 3 companies account for 34.4% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AIRSUPRA · Aimovig · BREZTRI · CAMZYOS · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · GEMTESA · GVOKE PFS · JANUVIA · JARDIANCE · Kerendia · MOUNJARO · MYRBETRIQ · NUCALA · Otezla · Ozempic · PREMARIN · PREVNAR 20 · Pogo Automatic Blood Glucose Monitoring System · QULIPTA · REXULTI · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Wegovy · XIFAXAN · YUPELRI · ZEPBOUND
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for physician assistant in NY.
Geographic Context
Physician assistants within 10 mi
177
Per 100K population
43.8
County median income
$96,497
Nearest hospital
GARNET HEALTH 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. Garigliano is a clinical cardiology specialist, with above-average Medicare volume (top 2% in NY), with low-engagement industry engagement in the top 4% of NY peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Garigliano experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Garigliano performed 317 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. Garigliano receive payments from pharmaceutical companies?
Yes. Dr. Garigliano received a total of $6,133 from 26 companies across 338 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. Garigliano's costs compare to other physician assistants in Middletown?
Dr. Garigliano's average Medicare payment per service is $29. 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. Garigliano) 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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