Casey Langel, PA
Physician Assistant · Melbourne, FLNPI 1346662103
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Si-bone, Inc. accounts for 60.6% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2021 at $3,520 and has fallen 98.0% since, to $71 in 2025.
Across 40 payments — averaging $109.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$3K
- Medtronic$1K
- Relievant Medsystems, Inc.$226
- Globus Medical$186
- Smith+Nephew$16
Across 3 payments — averaging $550.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Si-bone, Inc.$2K
What the payments were for
- Consulting fees$2,04046%
- Travel & lodging$1353%
- Food & beverage$2,22151%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Si-bone, Inc. | 20 | $2,663 |
| Medtronic | 14 | $1,305 |
| Relievant Medsystems, Inc. | 3 | $226 |
| Globus Medical | 2 | $186 |
| Smith+Nephew | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- iFuse Implant$2,303
- Intracept$598
- Mazor X Stealth Edition$330
- RIALTO SI FUSION SYSTEM$151
- T2 STRATOSPHERE$125
- UNID_PASS$124
- ENDOSKELETON TL NANOLOCK SURFACE TECHNOLOGY$122
- DIVERGENCE-L$115
- ELSA$115
- MARS ACDF Retractor$115
- CREO MIS Stabilization System$115
How this compares
$4,395 in reported general payments places this provider in the 85th percentile of 8,062 physician assistant providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Gabapentin | 61 | $601 |
| Methylprednisolone | 75 | $499 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 66 | $464 |
| Methocarbamol | 49 | $367 |
| Ondansetron Hcl | 17 | $320 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 40 | $268 |
| Oxycodone Hcl | 45 | $221 |
| Cyclobenzaprine Hcl | 12 | $137 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 34 | $106 |
| Hydromorphone Hcl | 11 | $65 |
| Tramadol Hcl | 26 | $64 |
| Cephalexin | 14 | $31 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Melbourne
- Audrey BeckerSt Augustine$689K
- Kevin WilliamsTampa$647K
- Brian BonomoLecanto$559K
- Melissa SingletonOcala$482K
- Reeli ReinuMaitland$427K
- Jeanelle KingMiami$424K
- Risha BellomoOrlando$397K
- Jason BergerClearwater$344K
- Ashley MillerGainesville$328K
- Nicole HillOrlando$319K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.