Medicare Enrolled

Dr. Roy Riascos Castaneda, MD

Radiation Oncology · Galveston, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Consulting-driven
301 UNIVERSITY BLVD, Galveston, TX 77555
4097722222
In practice since 2006 (19 years)
NPI: 1265516512 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. Riascos Castaneda 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. Riascos Castaneda

Dr. Roy Riascos Castaneda is a radiation oncology in Galveston, TX, with 19 years in practice. Based on federal Medicare data, Dr. Riascos Castaneda performed 534 Medicare services across 516 unique beneficiaries.

Between the years covered by Open Payments, Dr. Riascos Castaneda received a total of $17,232 from 15 pharmaceutical and/or device companies across 77 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Riascos Castaneda 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▲ 534 Medicare services$ $17,232 industry payments

Medicare Practice Summary

Medicare Utilization ↗
534
Medicare services
Bottom 21% in TX for radiation oncology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
516
Unique beneficiaries
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~28 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
CT scan of head/brain, without contrast269$31$221
Ct scan of blood vessels of neck with contrast70$65$455
Ct scan of blood vessels of head with contrast60$67$455
Mri scan of lower spinal canal without contrast37$52$414
Mri scan of upper spinal canal without contrast27$53$399
Mri scan of upper spinal canal before and after contrast14$89$594
Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast13$187$1,971
Mri scan of brain without contrast11$47$412
Mri scan of brain before and after contrast11$73$594
Mri scan of middle spinal canal before and after contrast11$86$601
Mri scan of lower spinal canal before and after contrast11$86$595
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 ↗
$17,232
Total received (2018-2024)
Avg $3,446/year across 5 years
Top 5% in TX for radiation oncology
15
Companies
77
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,736 (50.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,496 (49.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$541
2023
$7,335
2022
$459
2019
$7,277
2018
$1,620

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GUERBET LLC
$5,095
Siemens Medical Solutions USA, Inc.
$4,045
Bayer Healthcare Pharmaceuticals Inc.
$3,641
GE HealthCare
$1,856
Canon Medical Systems USA, Inc.
$851
GE HEALTHCARE
$780
Nevro Corp.
$132
Horizon Pharma plc
$123
Regeneron Healthcare Solutions, Inc.
$122
GlaxoSmithKline, LLC.
$109
Teleflex LLC
$102
Novo Nordisk Inc
$96
Biogen, Inc.
$95
Pharming Healthcare, Inc.
$94
Medtronic, Inc.
$90
Top 3 companies account for 74.2% of total payments
Associated products mentioned in payments ›
ARROW · Biograph mMR · COREVALVE EVOLUT R · DUPIXENT · Dotarem · MAGNETOM Aera · MAGNETOM Vida 3T · NAEOTOM Alpha · Omnia · RUCONEST · SHINGRIX · SOMATOM GO · SOMATOM On.site · SPINRAZA · TEPRO · Wegovy
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 →

The majority of payments (51%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 5% for radiation oncology in TX.

Equivalent to $3,227 per 100 Medicare services performed
Looking for a radiation oncology in Galveston?
Compare radiation oncologys in the Galveston area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Radiation Oncologys within 10 mi
47
Per 100K population
13.2
County median income
$85,348
Nearest hospital
UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON
0.0 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. Riascos Castaneda is a mixed practice specialist, with moderate Medicare volume, and high industry engagement (consulting-driven, top 5%), 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. Riascos Castaneda experienced with ct scan of head/brain, without contrast?
Based on Medicare claims data, Dr. Riascos Castaneda performed 269 ct scan of head/brain, without contrast 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. Riascos Castaneda receive payments from pharmaceutical companies?
Yes. Dr. Riascos Castaneda received a total of $17,232 from 15 companies across 77 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. Riascos Castaneda's costs compare to other radiation oncologys in Galveston?
Dr. Riascos Castaneda's average Medicare payment per service is $51. 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. Riascos Castaneda) 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 →