Medicare Enrolled
Dr. Michael Casagrande, MD
Sleep Medicine (Family Medicine) Physician · Tomball, 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. Casagrande 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. Casagrande
Dr. Michael Casagrande is a sleep medicine (family medicine) physician in Tomball, TX, with 19 years in practice. Based on federal Medicare data, Dr. Casagrande performed 4,379 Medicare services across 2,396 unique beneficiaries.
Between the years covered by Open Payments, Dr. Casagrande received a total of $19,851 from 82 pharmaceutical and/or device companies across 1040 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (family medicine) physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Casagrande is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice▲ Top 10% volume in TX$ $19,851 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,379
Medicare services
Top 10% in TX for sleep medicine (family medicine) physician
2,396
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~230 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) | 1,369 | $87 | $220 |
| Office visit, established patient (20-29 min) | 864 | $63 | $150 |
| Dexamethasone injection (steroid) | 388 | $0 | $4 |
| Manual urinalysis test with examination using microscope, non-automated | 226 | $4 | $13 |
| Steroid injection (triamcinolone) | 219 | $1 | $3 |
| Drug injection, under skin or into muscle | 188 | $10 | $47 |
| Flu vaccine administration | 111 | $11 | $12 |
| Flu vaccine, high-dose | 109 | $72 | $98 |
| Electrocardiogram (EKG), 12-lead | 105 | $8 | $35 |
| Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 83 | $33 | $105 |
| Therapy procedure using a positive pressure ventilator | 75 | $47 | $119 |
| Injection, methylprednisolone acetate, 40 mg | 59 | $5 | $9 |
| Annual wellness visit, follow-up | 50 | $134 | $225 |
| Office visit, established patient, complex (40-54 min) | 47 | $138 | $290 |
| New patient office visit (45-59 min) | 41 | $99 | $330 |
| Manual therapy (hands-on treatment), per 15 min | 40 | $20 | $60 |
| New patient office visit (30-44 min) | 36 | $46 | $220 |
| Sleep study including heart rate, breathing, and sleep time | 32 | $117 | $327 |
| Annual alcohol misuse screening, 5 to 15 minutes | 32 | $19 | $40 |
| Transitional care management services for problem of high complexity | 30 | $216 | $464 |
| Office visit, established patient (10-19 min) | 29 | $45 | $90 |
| Application of blood vessel compression device | 28 | $8 | $40 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 28 | $43 | $120 |
| Annual depression screening | 24 | $19 | $40 |
| Transitional care management services for problem of at least moderate complexity | 23 | $161 | $330 |
| Electrical stimulation therapy | 22 | $8 | $25 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $282 | $329 |
| Pneumonia vaccine administration | 20 | $31 | $50 |
| Prostate cancer screening; digital rectal examination | 18 | $13 | $40 |
| 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 | 18 | $27 | $50 |
| Removal of impacted ear wax by washing | 16 | $12 | $70 |
| Smoking and tobacco use intensive counseling, 4-10 minutes | 15 | $15 | $35 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 13 | $171 | $340 |
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 ↗$19,851
Total received (2018-2024)
Avg $2,836/year across 7 years
Top 8% in TX for sleep medicine (family medicine) physician
82
Companies
1,040
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
$19,838 (99.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$13 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$2,656
2023$3,382
2022$2,740
2021$2,793
2020$2,615
2019$2,720
2018$2,947
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$3,124
Novo Nordisk Inc
$1,746
GlaxoSmithKline, LLC.
$1,457
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,376
Amgen Inc.
$1,160
Lilly USA, LLC
$1,026
SANOFI-AVENTIS U.S. LLC
$551
Janssen Pharmaceuticals, Inc
$548
PFIZER INC.
$490
Bayer Healthcare Pharmaceuticals Inc.
$477
Sunovion Pharmaceuticals Inc.
$416
Amarin Pharma Inc.
$371
AbbVie Inc.
$358
Antares Pharma, Inc.
$345
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$345
JAZZ PHARMACEUTICALS INC.
$312
Bayer HealthCare Pharmaceuticals Inc.
$309
Teva Pharmaceuticals USA, Inc.
$306
Abbott Laboratories
$269
Axsome Therapeutics, Inc.
$252
Mylan Specialty L.P.
$246
Allergan, Inc.
$231
Takeda Pharmaceuticals U.S.A., Inc.
$215
Radius Health, Inc.
$212
Esperion Therapeutics, Inc.
$205
Shire North American Group Inc
$199
Novartis Pharmaceuticals Corporation
$191
ABBVIE INC.
$187
Jazz Pharmaceuticals Inc.
$175
Exact Sciences Corporation
$165
Otsuka America Pharmaceutical, Inc.
$161
Insulet Corporation
$147
Corium, LLC
$131
ARBOR PHARMACEUTICALS, INC.
$130
Inspire Medical Systems, Inc.
$128
IDORSIA PHARMACEUTICALS US INC
$124
Allergan Inc.
$124
Dexcom, Inc.
$119
Kowa Pharmaceuticals America, Inc.
$111
Supernus Pharmaceuticals, Inc.
$78
Harmony Biosciences LLC
$75
IBSA Pharma Inc.
$68
Optinose US, Inc.
$67
Merck Sharp & Dohme Corporation
$66
Eisai Inc.
$62
SCILEX PHARMACEUTICALS INC.
$60
Biohaven Pharmaceutical Holding Company Ltd.
$52
Inari Medical, Inc.
$50
Avanir Pharmaceuticals, Inc.
$47
Synergy Pharmaceuticals Inc
$46
Horizon Pharma plc
$45
Sumitomo Pharma America, Inc.
$44
DEXCOM, INC.
$39
Biohaven Pharmaceuticals, Inc.
$36
Azurity Pharmaceuticals, Inc.
$35
Philips Electronics North America Corporation
$34
Arbor Pharmaceuticals, Inc.
$33
West-Ward Pharmaceuticals
$31
HARMONY BIOSCIENCES LLC
$30
Ironwood Pharmaceuticals, Inc
$30
Avadel CNS Pharmaceuticals, LLC
$26
SANOFI PASTEUR INC.
$26
Biogen, Inc.
$24
Paratek Pharmaceuticals, Inc.
$24
Medtronic Vascular, Inc.
$22
Genentech USA, Inc.
$21
Alexion Pharmaceuticals, Inc.
$20
Flexion Therapeutics, Inc.
$19
OWP Pharmaceuticals, Inc.
$19
AbbVie, Inc.
$19
Ethicon US, LLC
$17
Hikma Pharmaceuticals USA
$16
Hologic, LLC
$15
EISAI INC.
$15
Horizon Therapeutics plc
$15
Corcept Therapeutics
$14
Neuronetics, Inc.
$14
Endo Pharmaceuticals Inc.
$14
Itamar Medical Inc
$13
Relypsa, Inc.
$12
Seqirus USA Inc
$12
Strongbridge US INC.
$11
Top 3 companies account for 31.9% of total payments
Associated products mentioned in payments ›
(8874) inCourage · AIRSUPRA · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · AUSTEDO · AVEED · AZSTARYS · Aduhelm · Aimovig · Auvelity · Azstarys · BEVESPI AEROSPHERE · BEXSERO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BROVANA · BYDUREON · Belviq · CHANTIX · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · Dymista · ELIQUIS · EMGALITY · ENTRESTO · ETERNA · EUCRISA · EVENITY · Edarbi · Edarbyclor · FARXIGA · FLOWTRIEVER CATHETER · FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL) · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GEMTESA · HORIZANT · Horizant · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · KEVEYIS · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINX Reflux Management System · LINZESS · LONHALA MAGNAIR · LUMRYZ · Linzess · Livalo · MOUNJARO · MYDAYIS · Mitigare · NEUROSTAR TMS THERAPY · NEXLETOL · NOCDURNA · NUEDEXTA · NURTEC ODT · NUZYRA · OTREXUP · Omnipod · Otezla · Otrexup · Ozempic · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · QELBREE · QULIPTA · QUVIVIQ · RAYOS · REXULTI · RYBELSUS · Repatha · Resolute · Rybelsus · S · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPINRAZA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Saxenda · Subvenite · Sunosi · Synthroid · THINPREP 2000 PROCESSOR · TLANDO · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trulance · Tymlos · UBRELVY · ULTOMIRIS · VRAYLAR · VYVANSE · Vascepa · Veltassa · Victoza · WAKIX · Wakix · WatchPAT · Wegovy · XARELTO · XIFAXAN · XYOSTED · XYREM · XYWAV · Xhance · Xofluza · Xyrem · YUPELRI · Yupelri · ZOSTAVAX · ZTLido · 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. Total industry engagement is in the top 8% for sleep medicine (family medicine) physician in TX.
Equivalent to $453 per 100 Medicare services performed
Geographic Context
Sleep Medicine (Family Medicine) Physicians within 10 mi
1
Per 100K population
0.0
County median income
$73,104
Nearest hospital
HCA HOUSTON HEALTHCARE TOMBALL
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. Casagrande is a clinical cardiology specialist, with above-average Medicare volume (top 10% in TX), and high industry engagement (low-engagement, top 8%), with 19 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. Casagrande experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Casagrande performed 1,369 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. Casagrande receive payments from pharmaceutical companies?
Yes. Dr. Casagrande received a total of $19,851 from 82 companies across 1,040 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. Casagrande's costs compare to other sleep medicine (family medicine) physicians in Tomball?
Dr. Casagrande's average Medicare payment per service is $55. 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. Casagrande) 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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