Medicare Enrolled
Dr. Michael Castillo, MD
Sports Medicine (Family Medicine) Physician · Graham, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 11 years of NPI registration. Based on federal Medicare data, Dr. Castillo performed 1,916 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Castillo received a total of $1,167 from 25 pharmaceutical and/or device companies across 68 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 11 years of NPI registration
▲ Top 30% volume in TX
$1,167 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,916
Medicare services
Top 30% in TX for sports medicine (family medicine) physician
Not available
Unique patients (not deduplicated)
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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. These counts do not measure clinical quality or years of experience.
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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
68
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2023
$551
2022
$417
2021
$160
2019
$39
Payments by company (2023)
AbbVie Inc.
$99
Lilly USA, LLC
$62
GlaxoSmithKline, LLC.
$56
Novartis Pharmaceuticals Corporation
$50
Janssen Pharmaceuticals, Inc
$37
IDORSIA PHARMACEUTICALS US INC
$33
Tactile Systems Technology Inc
$33
Bayer Healthcare Pharmaceuticals Inc.
$32
PFIZER INC.
$30
Optinose US, Inc.
$25
Exact Sciences Corporation
$17
Novo Nordisk Inc
$17
Amgen Inc.
$16
Takeda Pharmaceuticals U.S.A., Inc.
$15
E.R. Squibb & Sons, L.L.C.
$14
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 39.3% of 2023 payments
All-time payments by company (2019-2023) ›
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 all-time 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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Sports medicine physicians in nearby ZIP areas
1
County median income
$63,723
Nearest hospital to ZIP centroid (approximate)
GRAHAM REGIONAL MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2023 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Castillo is a clinical cardiology specialist, with above-average Medicare volume (top 30% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Castillo receive payments from pharmaceutical companies?
Yes. Dr. Castillo received a total of $1,167 from 25 companies across 68 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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