Dr. Roberto Casal, MD
What this data tells you about Dr. Casal
Dr. Roberto Casal is an internal medicine in Houston, TX, with 17 years in practice. Based on federal Medicare data, Dr. Casal performed 1,700 Medicare services across 1,670 unique beneficiaries.
Between the years covered by Open Payments, Dr. Casal received a total of $123,068 from 13 pharmaceutical and/or device companies across 204 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Casal 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Test to examine how well the lungs exchange gases | 345 | $7 | $88 |
| Test to determine lung volumes using sensors | 338 | $10 | $135 |
| Test to measure expiratory airflow and volume | 316 | $7 | $138 |
| Test for exercise-induced lung stress | 85 | $18 | $221 |
| Office visit, established patient (30-39 min) | 75 | $77 | $267 |
| New patient office visit (45-59 min) | 68 | $105 | $446 |
| Limited or follow-up ct scan | 58 | $37 | $329 |
| Computer-assisted image-guided navigation of lung airways using an endoscope | 52 | $77 | $1,337 |
| Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope | 51 | $112 | $2,139 |
| Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes | 48 | $191 | $6,404 |
| Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes | 40 | $167 | $3,290 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 35 | $8 | $173 |
| Irrigation and suction of lung airways to obtain cells using an endoscope | 34 | $31 | $1,608 |
| Initial hospital admission, high complexity | 31 | $131 | $606 |
| Initial hospital admission, moderate complexity | 28 | $97 | $426 |
| Critical care, first 30-74 min | 28 | $173 | $965 |
| Biopsy of lobe of lung using an endoscope, 1 lobe | 24 | $46 | $1,790 |
| Aspiration of fluid from chest cavity using imaging guidance | 18 | $84 | $1,280 |
| New patient office visit, complex (60-74 min) | 15 | $137 | $563 |
| Office visit, established patient, complex (40-54 min) | 11 | $116 | $531 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (56%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for internal medicine in TX.
Geographic Context
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. Casal is a mixed practice specialist, with above-average Medicare volume (top 21% in TX), and high industry engagement (speaking/promotional, top 1%), with 17 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. Casal experienced with test to examine how well the lungs exchange gases?
Does Dr. Casal receive payments from pharmaceutical companies?
How do Dr. Casal's costs compare to other internal medicines in Houston?
What does Data Coverage mean?
Is this data up to date?
Explore related providers
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