Medicare Enrolled

Dr. Richard Neel, M.D.

Occupational Medicine Physician · Castroville, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1501 HOUSTON ST, Castroville, TX 78009
8305383550
In practice since 2007 (19 years)
NPI: 1508986217 verify on NPPES ↗
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. Neel 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. Neel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Neel

Dr. Richard Neel is an occupational medicine physician in Castroville, TX, with 19 years in practice. Based on federal Medicare data, Dr. Neel performed 1,091 Medicare services across 716 unique beneficiaries.

Between the years covered by Open Payments, Dr. Neel received a total of $786 from 11 pharmaceutical and/or device companies across 28 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in occupational medicine physician. 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. Neel 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.

✓ 19 years in practice▲ Top 36% volume in TX$ $786 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,091
Medicare services
Top 36% in TX for occupational medicine physician
716
Unique beneficiaries
$42
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~57 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)350$89$182
Dexamethasone injection (steroid)280$0$5
Office visit, established patient (20-29 min)89$57$133
Blood draw (venipuncture)87$8$9
Drug injection, under skin or into muscle53$9$43
Ceftriaxone antibiotic injection51$0$16
Automated urinalysis45$2$17
New patient office visit (30-44 min)30$60$203
New patient office visit (45-59 min)19$115$306
Office visit, established patient, complex (40-54 min)19$135$214
Blood test, basic group of blood chemicals (calcium, ionized)16$13$59
Chest X-ray, 2 views14$26$60
Inhalation treatment for airway obstruction or sputum production14$7$33
Electrocardiogram (EKG), 12-lead13$10$32
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus11$35$86
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 ↗
$786
Total received (2018-2024)
Avg $112/year across 7 years
Top 13% in TX for occupational medicine physician
11
Companies
28
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
$628 (79.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$158 (20.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$79
2023
$96
2022
$197
2021
$98
2020
$181
2019
$34
2018
$101

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Galderma Laboratories, L.P.
$269
Biohaven Pharmaceutical Holding Company Ltd.
$116
Smith & Nephew, Inc.
$101
Genentech USA, Inc.
$89
Allergan, Inc.
$76
ABBVIE INC.
$55
Exact Sciences Corporation
$19
Novartis Pharmaceuticals Corporation
$17
Novo Nordisk Inc
$17
Amgen Inc.
$15
PFIZER INC.
$13
Top 3 companies account for 61.7% of total payments
Associated products mentioned in payments ›
BOTOX · Cologuard Collection Kit · EVENITY · LEQVIO · NURTEC ODT · PAXLOVID · PICO · QULIPTA · Xofluza
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 (80%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $72 per 100 Medicare services performed
Looking for a occupational medicine physician in Castroville?
Compare occupational medicine physicians in the Castroville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Occupational Medicine Physicians within 10 mi
7
Per 100K population
13.4
County median income
$73,462
Nearest hospital
WESTOVER HILLS BAPTIST HOSPITAL
14.4 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Neel is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 13%), with 19 years of practice experience.

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. Neel experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Neel performed 350 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. Neel receive payments from pharmaceutical companies?
Yes. Dr. Neel received a total of $786 from 11 companies across 28 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. Neel's costs compare to other occupational medicine physicians in Castroville?
Dr. Neel's average Medicare payment per service is $42. 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. Neel) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →