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 physician in Tomball, TX, with 19 years of NPI registration. 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) 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. |
1,369 | $87 | $220 |
| 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. |
864 | $63 | $150 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
388 | $0 | $4 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
226 | $4 | $13 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
219 | $1 | $3 |
| 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. |
188 | $10 | $47 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
111 | $11 | $12 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
109 | $72 | $98 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
105 | $8 | $35 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
83 | $33 | $105 |
| Positive pressure ventilator therapy A therapy procedure that uses a positive pressure ventilator to assist with breathing. |
75 | $47 | $119 |
| Injection, methylprednisolone acetate, 40 mg | 59 | $5 | $9 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
50 | $134 | $225 |
| 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. |
47 | $138 | $290 |
| 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. |
41 | $99 | $330 |
| Manual therapy (hands-on treatment), per 15 min | 40 | $20 | $60 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
36 | $46 | $220 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing patterns, and sleep duration. This test records physiological data while you sleep to assess your sleep quality and breathing function. |
32 | $117 | $327 |
| Annual alcohol misuse screening, 5 to 15 minutes | 32 | $19 | $40 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
30 | $216 | $464 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
29 | $45 | $90 |
| Blood vessel compression device application Application of a device to compress blood vessels. |
28 | $8 | $40 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
28 | $43 | $120 |
| Annual depression screening | 24 | $19 | $40 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
23 | $161 | $330 |
| Electrical stimulation therapy Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care. |
22 | $8 | $25 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
21 | $282 | $329 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
20 | $31 | $50 |
| Prostate cancer screening; digital rectal examination A physical exam where a healthcare provider inserts a gloved, lubricated finger into the rectum to check the prostate gland for abnormalities. |
18 | $13 | $40 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
18 | $27 | $50 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
16 | $12 | $70 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
15 | $15 | $35 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
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 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), with low-engagement industry engagement in the top 8% 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. 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 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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