Medicare Enrolled

Sylvia Lagdan, ARNP

Psychiatric/Mental Health Nurse Practitioner · Tacoma, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
3711 PACIFIC AVE, Tacoma, WA 98418
2534757333
Registered in NPPES since 2006
NPI: 1508812041 verify on NPPES ↗
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 Lagdan 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 Lagdan

Sylvia Lagdan is a psychiatric/mental health nurse practitioner in Tacoma, WA, with 20 years of NPI registration. Based on federal Medicare data, Lagdan performed 944 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Lagdan received a total of $2,942 from 13 pharmaceutical and/or device companies across 147 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Lagdan is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 6% volume in WA $2,942 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
944
Medicare services
Top 6% in WA for psychiatric/mental health nurse practitioner
Not available
Unique patients (not deduplicated)
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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 (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.
700 $35 $150
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
106 $31 $130
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.
68 $6 $25
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.
44 $52 $239
Psychiatric diagnostic evaluation with medical services
A psychiatric assessment that includes medical services to evaluate mental health conditions.
26 $103 $464
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2023 ↗
$2,942
Total received (2021-2023)
Avg $981/year across 3 years
Top 7% in WA for psychiatric/mental health nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
13
Companies
147
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$545
2022
$1,092
2021
$1,304

Payments by company (2023)

Teva Pharmaceuticals USA, Inc.
$185
ITI, Inc.
$76
Janssen Pharmaceuticals, Inc
$57
Neurocrine Biosciences, Inc.
$55
Alkermes, Inc.
$53
Otsuka America Pharmaceutical, Inc.
$40
IDORSIA PHARMACEUTICALS US INC
$33
ABBVIE INC.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$21
Top 3 companies account for 58.4% of 2023 payments
All-time payments by company (2021-2023) ›
Alkermes, Inc.
$639
ITI, Inc.
$575
Janssen Pharmaceuticals, Inc
$390
Teva Pharmaceuticals USA, Inc.
$289
Neurocrine Biosciences, Inc.
$260
Otsuka America Pharmaceutical, Inc.
$224
ABBVIE INC.
$174
Sunovion Pharmaceuticals Inc.
$146
Indivior Inc.
$89
Supernus Pharmaceuticals, Inc.
$59
AbbVie Inc.
$42
IDORSIA PHARMACEUTICALS US INC
$33
Takeda Pharmaceuticals U.S.A., Inc.
$21
Top 3 companies account for 54.5% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ABILIFY MYCITE · ARISTADA · AUSTEDO · Austedo XR · CAPLYTA · INGREZZA · INVEGA · INVEGA SUSTENNA · LATUDA · LYBALVI · OSMOLEX ER · PERSERIS · QELBREE · QUVIVIQ · REXULTI · SPRAVATO · TRINTELLIX · VRAYLAR
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a psychiatric/mental health nurse practitioner in Tacoma?
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Geographic Context

Psychiatric/mental health nurse practitioners in nearby ZIP areas
309
County median income
$96,632
Nearest hospital to ZIP centroid (approximate)
ST JOSEPH MEDICAL CENTER
2.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2023
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Lagdan is a clinical cardiology specialist, with above-average Medicare volume (top 6% in WA), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Lagdan experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Lagdan performed 700 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Lagdan receive payments from pharmaceutical companies?
Yes. Lagdan received a total of $2,942 from 13 companies across 147 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Lagdan's costs compare to other psychiatric/mental health nurse practitioners in Tacoma?
Lagdan's average Medicare payment per service is $35. 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 Lagdan) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →