Medicare Enrolled
Dr. Dane Langsjoen
Internal Medicine · Waco, 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. Langsjoen 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. Langsjoen
Dr. Dane Langsjoen is an internal medicine specialist in Waco, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Langsjoen performed 1,625 Medicare services across 1,391 unique beneficiaries.
Between the years covered by Open Payments, Dr. Langsjoen received a total of $3,369 from 18 pharmaceutical and/or device companies across 153 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Langsjoen 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.
✓ 13 years in practice
▲ Top 22% volume in TX
$3,369 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,625
Medicare services
Top 22% in TX for internal medicine
1,391
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~125 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. |
348 | $86 | $209 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
310 | $6 | $41 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
203 | $65 | $487 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
124 | $4 | $48 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
99 | $50 | $348 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
90 | $60 | $139 |
| 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. |
76 | $117 | $322 |
| Perflutren lipid microspheres injection Injection of perflutren lipid microspheres, measured per milliliter. |
44 | $33 | $637 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
32 | $96 | $267 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
31 | $85 | $201 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
25 | $18 | $450 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
22 | $18 | $124 |
| 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. |
21 | $9 | $89 |
| 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. |
21 | $45 | $142 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
18 | $2 | $19 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
17 | $81 | $508 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
17 | $14 | $90 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
16 | $19 | $450 |
| Stress echocardiogram An ultrasound of the heart performed while at rest and during exercise or drug-induced stress to evaluate heart function under different conditions. |
15 | $46 | $346 |
| Ultrasound of heart with contrast injection An ultrasound of the heart is performed while injecting an X-ray contrast agent to improve the clarity of the images. |
15 | $23 | $165 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
13 | $51 | $382 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
13 | $116 | $392 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
11 | $16 | $107 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
11 | $11 | $71 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
11 | $8 | $447 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
11 | $6 | $447 |
| 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. |
11 | $14 | $28 |
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.
13.5% high complexity
16.3% medium
70.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$3,369
Total received (2018-2024)
Avg $562/year across 6 years
Top 22% in TX for internal medicine
18
Companies
153
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
$3,369 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,132
2023
$999
2022
$769
2021
$286
2019
$120
2018
$64
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$901
Novartis Pharmaceuticals Corporation
$424
Inari Medical, Inc.
$277
AstraZeneca Pharmaceuticals LP
$250
Boston Scientific Corporation
$240
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$221
PFIZER INC.
$168
E.R. Squibb & Sons, L.L.C.
$157
Boehringer Ingelheim Pharmaceuticals, Inc.
$142
Amgen Inc.
$140
HeartFlow, Inc.
$136
ABIOMED
$132
iRhythm Technologies, Inc.
$66
Kiniksa Pharmaceuticals International, plc
$45
BIOTRONIK INC.
$18
BOSTON SCIENTIFIC CORPORATION
$17
Teleflex LLC
$17
Philips North America LLC
$17
Top 3 companies account for 47.6% of total payments
Associated products mentioned in payments ›
(CK7) Extended Holter · AMPLATZER TALISMAN · ANDEXXA · ASSURITY · AVEIR · Arcalyst · Assurity Pacemaker · CAMZYOS · CARDIOMEMS · CONFIRM RX · Confirm Rx · EKOSONIC · ELIQUIS · EMBLEM MRI S-ICD · ENSITE · ENSITE PRECISION · ENTRESTO · EP-WorkMate Claris System · ESPRIT · FARXIGA · FFRct · FLOWTRIEVER CATHETER · GALLANT · General - Therapies · Impella · JARDIANCE · JOT DX · LEQVIO · LUX-Dx Insertable Cardiac Monitor · LifeVest · MANTA · MERLIN@HOME · Repatha · S · Solia · VALITUDE CRT-P · WATCHMAN · ZIO XT Patch · Zio monitor
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.
Equivalent to $207 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
61
Per 100K population
23.1
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
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. Langsjoen is a clinical cardiology specialist, with above-average Medicare volume (top 22% in TX), with low-engagement industry engagement.
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. Langsjoen experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Langsjoen performed 348 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. Langsjoen receive payments from pharmaceutical companies?
Yes. Dr. Langsjoen received a total of $3,369 from 18 companies across 153 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. Langsjoen's costs compare to other internal medicine physicians in Waco?
Dr. Langsjoen's average Medicare payment per service is $49. 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. Langsjoen) 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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