Dr. Juan Ramirez Castaneda, M.D.
What this data tells you about Dr. Ramirez Castaneda
Dr. Juan Ramirez Castaneda is a neurology in San Antonio, TX, with 17 years in practice. Based on federal Medicare data, Dr. Ramirez Castaneda performed 25,994 Medicare services across 575 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ramirez Castaneda received a total of $295,881 from 27 pharmaceutical and/or device companies across 493 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Ramirez 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.
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 |
|---|---|---|---|
| Botox injection, per unit | 23,700 | $5 | $16 |
| Injection, rimabotulinumtoxinb, 100 units | 1,325 | $9 | $32 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 283 | $25 | $81 |
| Office visit, established patient, complex (40-54 min) | 157 | $138 | $348 |
| Office visit, established patient (30-39 min) | 139 | $84 | $277 |
| Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional | 101 | $33 | $121 |
| New patient office visit, complex (60-74 min) | 62 | $169 | $499 |
| Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional | 60 | $37 | $140 |
| Office visit, established patient (20-29 min) | 49 | $64 | $199 |
| Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 46 | $59 | $173 |
| Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box | 37 | $150 | $463 |
| Injection of chemical for paralysis of salivary glands on both sides of mouth | 20 | $87 | $303 |
| Office visit, established patient (10-19 min) | 15 | $43 | $120 |
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 (82%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in neurology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for neurology in TX.
Geographic Context
2.2 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. Ramirez Castaneda is a mixed practice specialist, with above-average Medicare volume (top 3% in TX), and high industry engagement (speaking/promotional, top 3%), 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
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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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