Medicare Enrolled
Dr. Michael Grad, M.D.
Interventional Cardiology · Austin, TX
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. Grad 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 →
Are you Dr. Grad?
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What this data tells you about Dr. Grad
Dr. Michael Grad is an interventional cardiology specialist in Austin, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Grad performed 3,057 Medicare services across 1,927 unique beneficiaries.
Between the years covered by Open Payments, Dr. Grad received a total of $37,273 from 71 pharmaceutical and/or device companies across 1565 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. 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. Grad is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 35% volume in TX
$37,273 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,057
Medicare services
Top 35% in TX for interventional cardiology
1,927
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~153 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. |
1,183 | $88 | $206 |
| External counterpulsation, per treatment session | 590 | $77 | $900 |
| 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. |
500 | $10 | $60 |
| 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. |
163 | $135 | $278 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
111 | $4 | $17 |
| 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 | $104 | $320 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
67 | $6 | $27 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
55 | $52 | $205 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
39 | $15 | $70 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
38 | $15 | $72 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
37 | $7 | $38 |
| 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. |
36 | $55 | $236 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
36 | $10 | $47 |
| 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. |
27 | $99 | $268 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
18 | $9 | $45 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
17 | $36 | $211 |
| 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. |
14 | $94 | $202 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
13 | $16 | $79 |
| 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. |
13 | $28 | $92 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
11 | $8 | $45 |
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.
1.8% high complexity
4.1% medium
94.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$37,273
Total received (2018-2024)
Avg $5,325/year across 7 years
Top 13% in TX for interventional cardiology
71
Companies
1,565
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
$37,238 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$35 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$5,434
2023
$5,443
2022
$5,928
2021
$5,968
2020
$3,855
2019
$5,121
2018
$5,524
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$7,658
Janssen Pharmaceuticals, Inc
$2,711
Amgen Inc.
$2,459
ABIOMED
$2,100
Amarin Pharma Inc.
$1,757
SANOFI-AVENTIS U.S. LLC
$1,598
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$1,592
Novartis Pharmaceuticals Corporation
$1,495
PFIZER INC.
$1,261
E.R. Squibb & Sons, L.L.C.
$1,149
Impulse Dynamics (USA) Inc.
$1,093
AstraZeneca Pharmaceuticals LP
$1,078
Biosense Webster, Inc.
$1,020
ShockWave Medical, Inc
$911
Novo Nordisk Inc
$783
Boehringer Ingelheim Pharmaceuticals, Inc.
$729
ATRICURE, INC.
$707
Regeneron Healthcare Solutions, Inc.
$643
Esperion Therapeutics, Inc.
$614
Medtronic Vascular, Inc.
$451
Boston Scientific Corporation
$436
Kiniksa Pharmaceuticals, Ltd.
$281
iRhythm Technologies, Inc.
$278
Chiesi USA, Inc.
$257
Merck Sharp & Dohme LLC
$241
Bolton Medical Inc
$241
Kowa Pharmaceuticals America, Inc.
$214
Gilead Sciences, Inc.
$205
Bayer Healthcare Pharmaceuticals Inc.
$191
CARDIVA MEDICAL, INC.
$178
AtriCure, Inc.
$172
Actelion Pharmaceuticals US, Inc.
$172
Medtronic, Inc.
$161
HeartFlow, Inc.
$146
Alnylam Pharmaceuticals Inc.
$145
Lundbeck LLC
$140
ARBOR PHARMACEUTICALS, INC.
$135
Arbor Pharmaceuticals, Inc.
$114
BOSTON SCIENTIFIC CORPORATION
$112
Lexicon Pharmaceuticals, Inc.
$108
Shockwave Medical, Inc
$105
Penumbra, Inc.
$97
Bardy Diagnostics, Inc.
$90
Kiniksa Pharmaceuticals International, plc
$81
Bayer HealthCare Pharmaceuticals Inc.
$79
Azurity Pharmaceuticals, Inc.
$77
Tactile Systems Technology Inc
$75
Teleflex LLC
$72
Baxter Healthcare
$70
Vital Connect, Inc
$61
Itamar Medical Inc
$61
Merck Sharp & Dohme Corporation
$60
Cardiovascular Systems Inc.
$56
NOVARTIS PHARMACEUTICALS CORPORATION
$53
Inspire Medical Systems, Inc.
$49
CVRx, Inc.
$48
Allergan Inc.
$44
CHIESI USA, INC.
$37
Corcept Therapeutics
$33
Myocardial Solutions, Inc.
$33
G Medical Diagnostic Services, Inc.
$32
Edwards Lifesciences Corporation
$31
AGEPHA Pharma FZ LLC
$29
Philips Electronics North America Corporation
$27
Medicure Pharma Inc.
$26
GE HealthCare
$25
AngioDynamics, Inc.
$23
Lantheus Medical Imaging, Inc.
$22
DJO, LLC
$18
SCPHARMACEUTICALS INC.
$15
Althera Pharmaceuticals LLC
$11
Top 3 companies account for 34.4% of total payments
Associated products mentioned in payments ›
AMPLATZER Occluders · ANDEXXA · ASSURITY · AVEIR · AVVIGO Guidance System · Ablation Therapy Hardware · Advisa · Aircast Venaflow · Allure CRT Pacemaker · Arcalyst · Assurity Pacemaker · BRILINTA · BYSTOLIC · Barostim Neo System · CAMZYOS · CARDIOMEMS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CHANTIX · CLEVIPREX 25MG/50ML · CLEVIPREX 50MG/100ML · COREVALVE EVOLUT R · CRT-Ds · Cardiac Monitoring Suite · CardioMEMS HF System · CareLink · Carnation Ambulatory Monitor · Catheter - Turnpike · Confirm Rx · CoreValve Evolut · Corlanor · DEFINITY · DISEASE STATE · EDARBI · ELIQUIS · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EVKEEZA · Edarbi · Edarbyclor · Edwards SAPIEN 3 Transcatheter Heart Valve · Ellipse ICD · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · FARXIGA · FLEXITOUCH · FUROSCIX · Flexitouch Plus · Fortify Assura · Fox Sv PTA catheter and Armada 14 percutaneous catheter and Viatrac 14 Plus peripheral catheter · GALLANT · GENERAL THERAPIES · GENERAL - THERAPIES · GUARDIAN · HeartMate 3 Left Ventricular Assist Device · HeartWare HVAD · Hillrom - Carnation Ambulatory Monitor · Horizant · IGT_D Peripheral · IN.PACT Admiral · INSPIRE · Impella · Indigo · Indigo System · JARDIANCE · JOT DX · JUXTAPID · KENGREAL · KENGREAL 50MG/10ML L · Kerendia · Korlym · LEQVIO · LODOCO · LOKELMA · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livalo · MRI Ready Leads · MULTAQ · MyCareLink · NEXLETOL · NEXLIZET · NORTHERA · ONPATTRO · OPSUMIT · OPSUMIT MACITENTAN · OPTIMIZER · OPTOWIRE · Optimizer · Optimizer Smart System · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PROCLAIM · Perclose ProGlide suture mediated closure system · Peripheral Orbital Atherectomy System · PressureWire FFR · RELAY THORACIC STENT-GRAFT WITH PLUS DELIVERY SYSTEM · RESONATE · RYBELSUS · Relay Plus · Repatha · Resolute · Reveal LINQ · Roszet · Rybelsus · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYNERGY · SYNERGY ABLATION SYSTEM · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave C2+ Coronary · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TRAPLINER · TURNPIKE · Tendril Pacing Lead · TrapLiner Catheter · UPTRAVI · Unify Assura CRT Defibrillator · VERQUVO · VITALPATCH RTM · VYNDAMAX · VYNDAQEL · Vascepa · WATCHMAN · WATCHMAN Access System · WatchPAT · Wegovy · XARELTO · Xience Sierra Coronary Stent · ZIO Patch · ZIO XT Patch · ZYPITAMAG · Zio monitor
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.
Equivalent to $1,219 per 100 Medicare services performed
Geographic Context
Interventional cardiologists within 10 mi
26
Per 100K population
2.0
County median income
$97,169
Nearest hospital
NORTH AUSTIN 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Grad is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 13% of TX peers, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Grad experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Grad performed 1,183 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. Grad receive payments from pharmaceutical companies?
Yes. Dr. Grad received a total of $37,273 from 71 companies across 1,565 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. Grad's costs compare to other interventional cardiologists in Austin?
Dr. Grad's average Medicare payment per service is $65. 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. Grad) 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. The Transparency Score measures 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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