Medicare Enrolled
Dr. Michael Castillo, MD
Sports Medicine (Family Medicine) Physician · Graham, 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. Castillo 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. Castillo
Dr. Michael Castillo is a sports medicine physician in Graham, TX, with 10 years of NPI registration. Based on federal Medicare data, Dr. Castillo performed 1,916 Medicare services across 1,338 unique beneficiaries.
Between the years covered by Open Payments, Dr. Castillo received a total of $1,167 from 25 pharmaceutical and/or device companies across 68 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (family 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. Castillo 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.
✓ 10 years in practice
▲ Top 30% volume in TX
$1,167 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,916
Medicare services
Top 30% in TX for sports medicine (family medicine) physician
1,338
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~192 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. |
385 | $76 | $250 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
199 | $5 | $25 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
152 | $0 | $5 |
| 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. |
119 | $52 | $170 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
96 | $9 | $55 |
| Infectious disease DNA/RNA test A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism. |
94 | $32 | $100 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
59 | $8 | $20 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
59 | $3 | $35 |
| 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. |
53 | $7 | $40 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
51 | $77 | $280 |
| Respiratory virus nucleic acid test, 3-5 targets A laboratory test that uses nucleic acid detection to identify multiple types or subtypes of respiratory viruses. The test analyzes 3 to 5 specific viral targets. |
48 | $129 | $1,100 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
48 | $0 | $25 |
| COVID-19 viral test, non-CDC A laboratory test to detect the SARS-CoV-2 virus (COVID-19) using any technique and targeting multiple types or subtypes. This specific code is for tests performed by laboratories that are not the CDC. |
48 | $47 | $100 |
| Chlamydia pneumoniae nucleic acid test A laboratory test that uses amplified probe techniques to detect the genetic material of Chlamydia pneumoniae bacteria in a sample. |
47 | $32 | $100 |
| Mycoplasma pneumoniae nucleic acid test A laboratory test that uses amplified probe techniques to detect the genetic material of Mycoplasma pneumoniae bacteria. |
47 | $32 | $100 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
45 | $8 | $60 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
39 | $13 | $100 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
38 | $15 | $45 |
| Liver function blood test panel | 37 | $8 | $85 |
| 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. |
24 | $79 | $253 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
24 | $124 | $275 |
| Annual alcohol misuse screening, 5 to 15 minutes | 24 | $18 | $53 |
| Annual depression screening | 24 | $18 | $75 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
19 | $20 | $95 |
| 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. |
19 | $86 | $385 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
18 | $61 | $511 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
18 | $38 | $263 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
16 | $9 | $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. |
16 | $118 | $335 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
15 | $51 | $180 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
12 | $29 | $140 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
12 | $33 | $127 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
11 | $69 | $696 |
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 2023 ↗$1,167
Total received (2019-2023)
Avg $292/year across 4 years
Top 37% in TX for sports medicine (family medicine) physician
25
Companies
68
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
$1,167 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2023
$551
2022
$417
2021
$160
2019
$39
Payments by company (2023)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$131
AbbVie Inc.
$99
GlaxoSmithKline, LLC.
$98
Novartis Pharmaceuticals Corporation
$94
Novo Nordisk Inc
$86
PFIZER INC.
$80
Boehringer Ingelheim Pharmaceuticals, Inc.
$66
AstraZeneca Pharmaceuticals LP
$48
Merck Sharp & Dohme Corporation
$43
Janssen Pharmaceuticals, Inc
$37
Bayer HealthCare Pharmaceuticals Inc.
$34
IDORSIA PHARMACEUTICALS US INC
$33
Biohaven Pharmaceutical Holding Company Ltd.
$33
Tactile Systems Technology Inc
$33
Bayer Healthcare Pharmaceuticals Inc.
$32
E.R. Squibb & Sons, L.L.C.
$31
Takeda Pharmaceuticals U.S.A., Inc.
$28
Flexion Therapeutics, Inc.
$26
Optinose US, Inc.
$25
Zogenix Inc.
$22
Corium, LLC
$20
Xeris Pharmaceuticals, Inc.
$20
Exact Sciences Corporation
$17
Amgen Inc.
$16
Mylan Specialty L.P.
$13
Top 3 companies account for 28.1% of total payments
Associated products mentioned in payments ›
AREXVY · AZSTARYS · BELSOMRA · BREZTRI · COMIRNATY · Cologuard Collection Kit · ELIQUIS · EMGALITY · ENTRESTO · EVUSHELD · FARXIGA · Fintepla · Flexitouch Plus · GVOKE PFS · JARDIANCE · Kerendia · LEQVIO · MOUNJARO · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PREVNAR 20 · QUVIVIQ · Rybelsus · SHINGRIX · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · UBRELVY · VRAYLAR · XARELTO · Xhance · Yupelri · Zilretta
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 $61 per 100 Medicare services performed
Geographic Context
Sports medicine physicians within 10 mi
1
Per 100K population
5.6
County median income
$63,723
Nearest hospital
GRAHAM REGIONAL 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 2023 |
| 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. Castillo is a clinical cardiology specialist, with above-average Medicare volume (top 30% in TX), with low-engagement industry engagement.
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. Castillo experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Castillo performed 385 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. Castillo receive payments from pharmaceutical companies?
Yes. Dr. Castillo received a total of $1,167 from 25 companies across 68 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. Castillo's costs compare to other sports medicine physicians in Graham?
Dr. Castillo's average Medicare payment per service is $38. 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. Castillo) 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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