Medicare Enrolled
Dr. Ryan Michaud, MD
Anesthesiology · Seguin, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Michaud 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. Michaud
Dr. Ryan Michaud is an anesthesiology specialist in Seguin, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Michaud performed 3,311 Medicare services across 1,500 unique beneficiaries.
Between the years covered by Open Payments, Dr. Michaud received a total of $37,825 from 45 pharmaceutical and/or device companies across 2130 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. 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. Michaud 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
▲ Top 3% volume in TX
$37,825 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,311
Medicare services
Top 3% in TX for anesthesiology
1,500
Unique beneficiaries
$104
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~174 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 |
|---|---|---|---|
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
941 | $60 | $600 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
752 | $192 | $600 |
| 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 | $92 | $380 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
285 | $0 | $3 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
177 | $239 | $750 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
135 | $4 | $17 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
56 | $239 | $6,649 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
48 | $0 | $6 |
| 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. |
42 | $59 | $270 |
| 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. |
39 | $105 | $526 |
| 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. |
39 | $114 | $490 |
| 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. |
36 | $63 | $267 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
33 | $73 | $290 |
| Compounded drug, not otherwise classified A medication prepared specifically for an individual patient by a pharmacist or physician, tailored to meet unique needs that cannot be fulfilled by commercially available products. |
32 | $183 | $289 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
31 | $67 | $517 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
30 | $120 | $573 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
30 | $225 | $1,245 |
| 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. |
28 | $100 | $735 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
26 | $84 | $489 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
26 | $69 | $289 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
21 | $33 | $187 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
19 | $68 | $567 |
| 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. |
19 | $11 | $41 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
18 | $21 | $342 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
17 | $185 | $1,051 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
17 | $213 | $1,257 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
15 | $47 | $330 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
14 | $83 | $798 |
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 ↗$37,825
Total received (2018-2024)
Avg $5,404/year across 7 years
Top 1% in TX for anesthesiology
45
Companies
2,130
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
$37,825 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,603
2023
$1,681
2022
$6,654
2021
$8,249
2020
$4,146
2019
$4,595
2018
$8,898
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$33,642
Boston Scientific Corporation
$1,312
BOSTON SCIENTIFIC CORPORATION
$297
Medtronic USA, Inc.
$288
Vertiflex, Inc.
$237
Collegium Pharmaceutical, Inc.
$223
Amgen Inc.
$201
Novartis Pharmaceuticals Corporation
$172
Nalu Medical, Inc.
$122
Takeda Pharmaceuticals U.S.A., Inc.
$105
Orexo US, Inc.
$104
GRT US Holding, Inc.
$97
Biohaven Pharmaceutical Holding Company Ltd.
$67
Medtronic, Inc.
$67
Forte Bio-Pharma LLC
$63
AstraZeneca Pharmaceuticals LP
$61
Flowonix Medical Incorporated
$50
ABBVIE INC.
$46
Stimwave Technologies Incorporated
$38
Pernix Therapeutics Holdings, Inc.
$38
Kaleo, Inc.
$35
IBSA Pharma Inc.
$35
Teva Pharmaceuticals USA, Inc.
$34
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$33
SI-BONE, INC.
$32
Lilly USA, LLC
$30
Upsher-Smith Laboratories LLC
$29
ARBOR PHARMACEUTICALS, INC.
$28
DePuy Synthes Sales Inc.
$28
Scilex Pharmaceuticals Inc.
$28
TerSera Therapeutics LLC
$26
SI-BONE, Inc.
$26
Spinal Simplicity, LLC
$22
SCILEX PHARMACEUTICALS INC.
$21
Zyla Life Sciences
$21
Mallinckrodt Hospital Products Inc.
$20
Supernus Pharmaceuticals, Inc.
$19
Radius Health, Inc.
$19
Horizon Therapeutics plc
$18
AbbVie Inc.
$18
Celgene Corporation
$17
Nevro Corp.
$17
Biohaven Pharmaceuticals, Inc.
$15
PFIZER INC.
$14
BioDelivery Sciences International, Inc.
$11
Top 3 companies account for 93.2% of total payments
Associated products mentioned in payments ›
ACTHAR · ADAPTIVESTIM · AIMOVIG · AJOVY · Aimovig · Amitiza · Axium INS DRG IPG · Axium Sheath Braided DRG · BUNAVAIL 2.1 mg 30-count box · Belbuca · CONFIDENCE · Cinch Epiducer SCS · DRG Accessories · DRG IPGs · DRG leads · EMGALITY · ETERNA · EVZIO · EXCLAIM · Enbrel · Eon Family of SCS IPGs · Evzio · Exclaim SCS Leads · GENERAL VASCULAR INTERVENTION · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · HA MINUTEMAN G3-R · Horizant · INTELLIS · LINEAR · LYRICA · Lamitrode SCS Leads · Licart · MOVANTIK · NT1100 NT2000iX Simplicity · NURTEC ODT · Nalocet · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · No Associated Product · Nucynta · OCTRODE · Octrode SCS Leads · PENNSAID · PENTA · PROCLAIM · PRODIGY · PROLATE · PROTG · Penta SCS Leads · Precision Xceed Pro system · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Prometra II · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · Quattrode Leads SCS Leads · Qutenza · RELISTOR · Radiofrequency Therapy · S-Series SCS Leads · SCS IPGs · SCS leads · SPECTRA WAVEWRITER · SWIFT-LOCK · SYNCHROMEDII · Senza · SlimTip lead DRG Lead · Spinal Cord Stimulation Accessories · Superion ISS · Swift-Lock SCS · TROKENDI XR · Tirosint · Tripole SCS Leads · Tymlos · UBRELVY · XTAMPZA · ZOHYDRO ER · ZORVOLEX · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zubsolv
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. Total industry engagement is in the top 1% for anesthesiology in TX.
Equivalent to $1,142 per 100 Medicare services performed
Geographic Context
Anesthesiologists within 10 mi
18
Per 100K population
10.1
County median income
$93,776
Nearest hospital
GUADALUPE 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 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. Michaud is a mixed practice specialist, with above-average Medicare volume (top 3% in TX), with low-engagement industry engagement in the top 1% of TX peers, with 19 years of NPI registration.
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. Michaud experienced with drug screening test?
Based on Medicare claims data, Dr. Michaud performed 941 drug screening test 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. Michaud receive payments from pharmaceutical companies?
Yes. Dr. Michaud received a total of $37,825 from 45 companies across 2,130 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. Michaud's costs compare to other anesthesiologists in Seguin?
Dr. Michaud's average Medicare payment per service is $104. 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. Michaud) 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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