Medicare Enrolled
Dr. Denise Casper, D.O.
Family Medicine · Decatur, 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. Casper 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. Casper? Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Casper
Dr. Denise Casper is a family medicine in Decatur, TX, with 19 years in practice. Based on federal Medicare data, Dr. Casper performed 5,296 Medicare services across 3,195 unique beneficiaries.
Between the years covered by Open Payments, Dr. Casper received a total of $5,330 from 55 pharmaceutical and/or device companies across 318 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Casper is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice▲ Top 3% volume in TX$ $5,330 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,296
Medicare services
Top 3% in TX for family medicine
3,195
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~279 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) | 739 | $81 | $264 |
| Complete blood count (CBC) with differential | 381 | $8 | $19 |
| Dexamethasone injection (steroid) | 361 | $0 | $6 |
| Comprehensive metabolic blood panel | 355 | $10 | $30 |
| Lipid panel (cholesterol and triglycerides) | 302 | $13 | $30 |
| Free thyroxine (T4) test | 246 | $9 | $20 |
| Office visit, established patient (20-29 min) | 243 | $63 | $186 |
| Thyroid hormone, t3 measurement, free | 240 | $17 | $34 |
| Thyroid stimulating hormone (TSH) test | 226 | $16 | $33 |
| Hemoglobin A1c test (diabetes monitoring) | 204 | $10 | $27 |
| Urine microalbumin test (kidney screening) | 177 | $6 | $12 |
| Creatinine test (kidney function) | 174 | $5 | $12 |
| Drug injection, under skin or into muscle | 169 | $10 | $69 |
| Annual wellness visit, follow-up | 139 | $124 | $269 |
| Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 128 | $29 | $84 |
| Urinalysis, manual | 114 | $3 | $7 |
| Vitamin D level test | 101 | $29 | $66 |
| Ceftriaxone antibiotic injection | 89 | $0 | $10 |
| Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 77 | $40 | $84 |
| Advance care planning consultation, first 30 min | 77 | $77 | $172 |
| Injection, methylprednisolone acetate, 40 mg | 76 | $5 | $13 |
| New patient office visit (45-59 min) | 57 | $100 | $340 |
| Measurement of total estradiol (hormone) | 43 | $27 | $62 |
| Detection test by immunoassay with direct visual observation for influenza virus | 42 | $16 | $33 |
| Magnesium level test | 41 | $7 | $15 |
| Iron level test | 34 | $6 | $13 |
| Iron binding capacity test | 34 | $9 | $19 |
| Annual depression screening | 34 | $18 | $38 |
| Chronic care management, first 20 min/month | 32 | $37 | $83 |
| Folic acid level test | 31 | $14 | $33 |
| C-reactive protein test (inflammation marker) | 29 | $5 | $12 |
| Electrocardiogram (EKG), 12-lead | 29 | $10 | $30 |
| Transitional care management services for problem of high complexity | 29 | $210 | $569 |
| Office visit, established patient, complex (40-54 min) | 28 | $104 | $368 |
| Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 28 | $1 | $20 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 27 | $40 | $108 |
| Bone density scan (DEXA) | 23 | $36 | $74 |
| Prostate cancer screening; prostate specific antigen test (psa) | 22 | $19 | $39 |
| Sed rate test (inflammation marker) | 21 | $3 | $5 |
| Vitamin B-12 level test | 20 | $15 | $34 |
| Ferritin level test (iron stores) | 19 | $13 | $30 |
| Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 15 | $16 | $34 |
| Natriuretic peptide (heart and blood vessel protein) level | 14 | $38 | $79 |
| Removal of impacted ear wax | 13 | $28 | $96 |
| Parathyroid hormone level test | 13 | $40 | $92 |
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 ↗$5,330
Total received (2018-2024)
Avg $761/year across 7 years
Top 12% in TX for family medicine
55
Companies
318
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
$5,330 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$887
2023$1,446
2022$860
2021$762
2020$569
2019$504
2018$303
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$813
Novo Nordisk Inc
$504
AbbVie Inc.
$428
Lilly USA, LLC
$375
PFIZER INC.
$341
Boehringer Ingelheim Pharmaceuticals, Inc.
$335
GlaxoSmithKline, LLC.
$301
Astellas Pharma US Inc
$295
ABBVIE INC.
$224
Amgen Inc.
$105
Allergan Inc.
$80
Janssen Pharmaceuticals, Inc
$71
Allergan, Inc.
$71
Dexcom, Inc.
$70
Amarin Pharma Inc.
$69
Antares Pharma, Inc.
$66
Abbott Laboratories
$63
DEXCOM, INC.
$60
Phadia US Inc.
$58
SANOFI PASTEUR INC.
$57
Daiichi Sankyo Inc.
$54
Phathom Pharmaceuticals, Inc.
$51
SANOFI-AVENTIS U.S. LLC
$47
Merck Sharp & Dohme Corporation
$46
Biohaven Pharmaceutical Holding Company Ltd.
$46
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$40
Supernus Pharmaceuticals, Inc.
$37
Sumitomo Pharma America, Inc.
$37
Otsuka America Pharmaceutical, Inc.
$33
Merck Sharp & Dohme LLC
$32
Bayer HealthCare Pharmaceuticals Inc.
$32
Radius Health, Inc.
$31
Takeda Pharmaceuticals U.S.A., Inc.
$31
Mylan Specialty L.P.
$31
ORGANOGENESIS INC.
$30
Xeris Pharmaceuticals, Inc.
$29
Novartis Pharmaceuticals Corporation
$26
IDORSIA PHARMACEUTICALS US INC
$25
Neurocrine Biosciences, Inc.
$24
Teva Pharmaceuticals USA, Inc.
$21
Nevro Corp.
$20
Tandem Diabetes Care, Inc.
$20
Ironshore Pharmaceuticals Inc.
$19
Insulet Corporation
$18
Forte Bio-Pharma LLC
$18
Biohaven Pharmaceuticals, Inc.
$17
Otsuka Pharmaceutical Development & Commercialization, Inc.
$16
Eisai Inc.
$16
Mannkind Corporation
$16
Paratek Pharmaceuticals, Inc.
$15
Cranial Technologies, Inc
$15
Currax Pharmaceuticals LLC
$15
IBSA Pharma Inc.
$14
Exact Sciences Corporation
$14
Orexigen Therapeutics, Inc.
$11
Top 3 companies account for 32.7% of total payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · AJOVY · Affinity · Aimovig · BEXSERO · BREZTRI · BYSTOLIC · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · Cologuard Collection Kit · DEXCOM G6 CGM SYSTEM · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · Doc Band · EMGALITY · ENTRESTO · ETERNA · FARXIGA · FLECTOR · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 3 · GARDASIL · GEMTESA · GVOKE HYPOPEN · GVOKE PFS · INGREZZA · INJECTAFER · ImmunoCAP · JANUVIA · JARDIANCE · JORNAY PM · Kerendia · LICART · LINZESS · LYRICA · MENQUADFI · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXPLANON · NOCDURNA · NURTEC ODT · NUZYRA · Omnipod · Otezla · Ozempic · PEDIARIX · PREVNAR - 13 · PREVNAR 13 · PROCLAIM · PROLATE · QULIPTA · QUVIVIQ · REXULTI · REYVOW · RYBELSUS · Rybelsus · SOLIQUA 100/33 · SPRAVATO · STIOLTO RESPIMAT · Saxenda · Senza · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tymlos · UBRELVY · VAXELIS · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XYOSTED · Yupelri · ZEPBOUND · t:slim X2 Insulin Pump with Control-IQ
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 $101 per 100 Medicare services performed
Geographic Context
Family Medicines within 10 mi
92
Per 100K population
127.1
County median income
$89,897
Nearest hospital
MEDICAL CITY DECATUR
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. Casper is a clinical cardiology specialist, with above-average Medicare volume (top 3% in TX), and high industry engagement (low-engagement, top 12%), 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. Casper experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Casper performed 739 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. Casper receive payments from pharmaceutical companies?
Yes. Dr. Casper received a total of $5,330 from 55 companies across 318 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. Casper's costs compare to other family medicines in Decatur?
Dr. Casper's average Medicare payment per service is $30. 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. Casper) 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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