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Dr. Arnel Cache Castrence, MD

Accepting New Patients
(Dr. Arnel C. Castrence, M.D.)
Specializes in: Internal Medicine (Adult Medicine)
University of Maryland School of Medicine (1995)
Professional interests include: anxiety, angina, acute bronchitis, and more.
10 St Patricks Drive
Waldorf, MD 20603

Dr. Arnel Cache Castrence, MD is an internist in Waldorf, MD specializing in internal medicine (adult medicine). He graduated from University of Maryland School of Medicine in 1995 and has 31 years of experience. Dr. Arnel Cache Castrence, MD is affiliated with MedStar Health.

View Doctor's Full Profile (301) 705-7870

Office Locations

10 St Patricks Drive
Waldorf, MD 20603
open_in_new

Some issues Dr. Arnel Cache Castrence, MD can help you with:

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

  • Feeling sad, guilty, empty or hopeless
  • Fatigue and a lack of energy and motivation
  • A loss of pleasure in activities that were previously enjoyed
  • Unusual sleep or eating habits
  • Mental fog -- trouble concentrating, remembering, or making decisions
  • Physical aches and pains
  • Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Headache

Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:

  • Migraines: one of the most prevalent types of headache, migraines typically last from two hours to three days, causing a throbbing pain on one side of the head. Nausea, sensitivity to bright lights, fatigue, and blurred vision all may accompany migraines. While migraines have no known cure, medications and lifestyle modifications may ease symptoms. Avoiding behaviors that may trigger migraines such as lack of sleep or loud, repetitive noises can improve headaches.
  • Tension headaches: also known as stress headaches, these headaches are characterized by pain in the upper top part of the head and behind the eyes. Tension headaches are common and have no exact cause; however, certain practices may increase the likelihood of developing them. For example, wearing one's hair up in a tight hairstyle or wearing a restrictive hat can put pressure on the scalp, leading to a tension headache. Other causes of tension headaches may include alcohol or nicotine use, caffeine, teeth grinding, stress, overexertion, and eye strain. Some people find posture improvement, alternating sleeping positions, and neck exercise can alleviate tension headaches. Over-the-counter pain relievers such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve) may also reduce tension-headache pain.
  • Sinus headaches: this type of headache causes pain in the sinuses, but may progress to pain and pressure in the eyes, forehead, and cheeks. These headaches are often accompanied by nasal congestion, fatigue, and ache in the upper teeth and may or may not be caused by sinus infections or sinusitis (sinus inflammation). Some sinus headaches are allergic headaches, which arise from allergic triggers such as seasonal allergies (pollen allergies) or hay fever, causing sinus pressure and facial pain. Other symptoms of allergic headaches include nasal congestion, irritated or watery eyes, runny nose, and sneezing. Allergic headaches may be treated with antihistamine medications such as cetirizine (Zyrtec). Allergic headaches are common during pollen season, which is usually around springtime.
  • Cluster headaches: these headaches occur suddenly and cause stabbing, sharp pain from one eye down to the one side of the neck. They are often referred to as the most aggravating and painful type of headaches. Other symptoms of cluster headaches include nasal congestion, droopy eyelid, and enlarged pupil on one side of the face. In the past, it was widely believed that cluster headaches were caused by a bevy or "cluster" of multiple types of headaches, such as a combination of an allergic headache and a tension headache. Medical experts now recognize that cluster headaches are a separate and unique form of headache. Cluster headaches last for around twenty minutes to two hours. They may recur throughout the period of a day or several weeks, but usually dissipate within a month. Treatment for cluster headaches includes over-the-counter pain medications such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve). Prescription Prednisone can help with swelling and Verapamil may reduce pain by relaxing the blood vessels.

Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

  • Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
  • Graves' disease, an autoimmune disease that causes hyperthyroidism
  • Goiter
  • Thyroid nodule
  • Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

Noteworthy Medicare Patient Procedures Performed by Dr. Arnel Cache Castrence, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

blood draw
phlebotomy for lab tests
pneumonia shot

By Affordability:

blood count tests
complete blood count
pneumonia shot

In 2012, among providers in related specialties within Maryland, Dr. Arnel Cache Castrence, MD performed more blood draw, phlebotomy for lab tests, and pneumonia shot procedures for Medicare patients than 75% of them and he also had a list price for blood count tests, complete blood count (CBC), and pneumonia shot that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2012 were lab tests, preventive care, blood draw and diabetes management.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 319
cardiac procedures 21
diabetes management 105
doctor visit 657
lab tests 879
preventive care 365
stress testing 21
thyroid function tests 102
vaccines 59

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2013 were lab tests, preventive care, blood draw and diabetes management.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 301
cardiac procedures 24
diabetes management 87
doctor visit 567
lab tests 713
preventive care 325
stress testing 24
thyroid function tests 81
vaccines 60

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 119
Female 132
Ethnicity
Non-Hispanic White 192
Black 38
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 143
From 75 to 84 57
85 and over 20
Less than 65 31

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2013

Hypertension 75
High Cholesterol 63
Stroke 6
Ischemic Heart Disease 27
Depression 12
Chronic Kidney Disease 14
Asthma 4
Osteoperosis 6
Atrial Fibrilation 7
Heart Failure 11
Chronic Obstructive Pulmonary Disease 12
Diabetes 45
Dementia 6
Cancer 9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2014 were lab tests, preventive care, blood draw and diabetes management.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 357
cardiac procedures 25
diabetes management 127
doctor visit 620
lab tests 1002
preventive care 482
stress testing 25
thyroid function tests 109
vaccines 109

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 147
Female 173
Ethnicity
Non-Hispanic White 243
Black 57
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 173
From 75 to 84 81
85 and over 22
Less than 65 44

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2014

Hypertension 75
High Cholesterol 70
Stroke 6
Ischemic Heart Disease 24
Depression 12
Chronic Kidney Disease 15
Asthma 6
Osteoperosis 0
Atrial Fibrilation 9
Heart Failure 10
Chronic Obstructive Pulmonary Disease 12
Diabetes 45
Dementia 7
Cancer 10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2015 were lab tests, preventive care, blood draw and diabetes management.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 334
diabetes management 136
doctor visit 643
lab tests 939
preventive care 479
thyroid function tests 95
vaccines 93

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 322
Female 366
Ethnicity
Non-Hispanic White 512
Black 124
Hispanic 26
Asian 0
Other 0
Native American 0
Age
From 65 to 74 380
From 75 to 84 154
85 and over 32
Less than 65 122

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2015

Hypertension 75
High Cholesterol 70
Stroke 5
Ischemic Heart Disease 21
Depression 19
Chronic Kidney Disease 15
Asthma 8
Osteoperosis 5
Atrial Fibrilation 5
Heart Failure 10
Chronic Obstructive Pulmonary Disease 14
Diabetes 49
Dementia 5
Cancer 10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2016 were lab tests, preventive care, blood draw and diabetes management.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 299
diabetes management 170
doctor visit 650
lab tests 1108
preventive care 590
thyroid function tests 113
vaccines 152

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 177
Female 176
Ethnicity
Non-Hispanic White 255
Black 70
Hispanic 12
Asian 0
Other 0
Native American 0
Age
From 65 to 74 189
From 75 to 84 81
85 and over 21
Less than 65 62

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2016

Hypertension 75
High Cholesterol 73
Stroke 7
Ischemic Heart Disease 22
Depression 17
Chronic Kidney Disease 21
Asthma 17
Osteoperosis 7
Atrial Fibrilation 7
Heart Failure 11
Chronic Obstructive Pulmonary Disease 14
Diabetes 50
Dementia 7
Cancer 11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2017 were lab tests, preventive care, blood draw and vaccines.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 305
diabetes management 68
doctor visit 573
lab tests 596
preventive care 365
thyroid function tests 74
vaccines 129

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 156
Female 162
Ethnicity
Non-Hispanic White 221
Black 64
Hispanic 16
Asian 0
Other 0
Native American 0
Age
From 65 to 74 167
From 75 to 84 72
85 and over 25
Less than 65 54

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2017

Hypertension 75
High Cholesterol 74
Stroke 7
Ischemic Heart Disease 22
Depression 16
Chronic Kidney Disease 25
Asthma 6
Osteoperosis 6
Atrial Fibrilation 9
Heart Failure 11
Chronic Obstructive Pulmonary Disease 14
Diabetes 47
Dementia 7
Cancer 10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2018 were blood draw, lab tests, preventive care and vaccines.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 391
chronic care 21
diabetes management 18
doctor visit 606
lab tests 299
preventive care 172
thyroid function tests 45
vaccines 99

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 161
Female 174
Ethnicity
Non-Hispanic White 221
Black 78
Hispanic 15
Asian 0
Other 0
Native American 0
Age
From 65 to 74 170
From 75 to 84 87
85 and over 25
Less than 65 53

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2018

Hypertension 75
High Cholesterol 75
Stroke 6
Ischemic Heart Disease 24
Depression 20
Chronic Kidney Disease 24
Asthma 7
Osteoperosis 7
Atrial Fibrilation 7
Heart Failure 12
Chronic Obstructive Pulmonary Disease 13
Diabetes 43
Dementia 6
Cancer 12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2019 were lab tests, blood draw, preventive care and thyroid function tests.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 450
diabetes management 40
doctor visit 786
lab tests 843
preventive care 333
thyroid function tests 106
vaccines 55

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 182
Female 197
Ethnicity
Non-Hispanic White 251
Black 94
Hispanic 12
Asian 11
Other 11
Native American 0
Age
From 65 to 74 195
From 75 to 84 0
85 and over 31
Less than 65 54

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2019

Hypertension 75
High Cholesterol 74
Stroke 8
Ischemic Heart Disease 26
Depression 18
Chronic Kidney Disease 24
Asthma 6
Osteoperosis 5
Atrial Fibrilation 7
Heart Failure 11
Chronic Obstructive Pulmonary Disease 15
Diabetes 42
Dementia 6
Cancer 10

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2020 were lab tests, blood draw, preventive care and thyroid function tests.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 304
diabetes management 27
doctor visit 636
lab tests 694
preventive care 227
thyroid function tests 105
vaccines 13

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 184
Female 182
Ethnicity
Non-Hispanic White 232
Black 98
Hispanic 13
Asian 12
Other 11
Native American 0
Age
From 65 to 74 186
From 75 to 84 93
85 and over 31
Less than 65 56

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2020

Hypertension 73
High Cholesterol 73
Stroke 6
Ischemic Heart Disease 23
Depression 18
Chronic Kidney Disease 24
Asthma 4
Osteoperosis 6
Atrial Fibrilation 8
Heart Failure 11
Chronic Obstructive Pulmonary Disease 11
Diabetes 42
Dementia 7
Cancer 12

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2021 were lab tests, blood draw, preventive care and thyroid function tests.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 435
doctor visit 794
lab tests 1069
preventive care 308
thyroid function tests 186
vaccines 17

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 209
Female 231
Ethnicity
Non-Hispanic White 247
Black 147
Hispanic 15
Asian 15
Other 16
Native American 0
Age
From 65 to 74 225
From 75 to 84 125
85 and over 34
Less than 65 56

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2021

Hypertension 75
High Cholesterol 75
Stroke 8
Ischemic Heart Disease 25
Depression 19
Chronic Kidney Disease 30
Asthma 7
Osteoperosis 7
Atrial Fibrilation 7
Heart Failure 12
Chronic Obstructive Pulmonary Disease 10
Diabetes 45
Dementia 9
Cancer 13

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2022 were lab tests, blood draw, preventive care and thyroid function tests.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 473
doctor visit 713
lab tests 881
preventive care 261
thyroid function tests 157
vaccines 19

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 197
Female 217
Ethnicity
Non-Hispanic White 217
Black 148
Hispanic 15
Asian 17
Other 17
Native American 0
Age
From 65 to 74 214
From 75 to 84 126
85 and over 30
Less than 65 44

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2022

Hypertension 75
High Cholesterol 75
Stroke 14
Ischemic Heart Disease 21
Depression 14
Chronic Kidney Disease 14
Asthma 9
Osteoperosis 10
Atrial Fibrilation 14
Heart Failure 11
Chronic Obstructive Pulmonary Disease 11
Diabetes 41
Dementia 6
Cancer 15

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD during 2023 were blood draw, preventive care, lab tests and vaccines.

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

blood draw 504
diabetes management 14
doctor visit 767
lab tests 70
preventive care 76
vaccines 29

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 203
Female 210
Ethnicity
Non-Hispanic White 224
Black 142
Hispanic 17
Asian 13
Other 17
Native American 0
Age
From 65 to 74 207
From 75 to 84 125
85 and over 37
Less than 65 44

Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD in 2023

Hypertension 75
High Cholesterol 75
Stroke 13
Ischemic Heart Disease 20
Depression 15
Chronic Kidney Disease 17
Asthma 10
Osteoperosis 10
Atrial Fibrilation 13
Heart Failure 11
Chronic Obstructive Pulmonary Disease 14
Diabetes 44
Dementia 7
Cancer 16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Arnel Cache Castrence, MD for Medicare patients.

The highest averages for the top procedures that Dr. Arnel Cache Castrence, MD treated as an internist in Waldorf, MD were lab tests, blood draw, preventive care and thyroid function tests.

blood draw 372
cardiac procedures 23
chronic care 21
diabetes management 79
doctor visit 667
lab tests 757
preventive care 331
stress testing 23
thyroid function tests 106
vaccines 69

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Arnel Cache Castrence, MD.

Gender
Male 171
Female 185
Ethnicity
Black / African American 88
Asian / Pacific Islander 5
Non-Hispanic White 234
Hispanic 11
Native American / Alaskan Native 0
Other 6
Age
75 to 84 83
85 and over 25
Less than 65 51
65 to 74 187

Average of Total of Conditions of Medicare patients treated by Dr. Arnel Cache Castrence, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Arnel Cache Castrence, MD treated were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension 68
High Cholesterol 66
Stroke 7
Ischemic Heart Disease 21
Depression 15
Chronic Kidney Disease 18
Asthma 7
Osteoporosis 5
Heart Failure 10
Chronic Obstructive Pulmonary Disease 11
Diabetes 41
Atrial Fibrillation 7
Cancer 10
Dementia 6

Education & Training

Dr. Arnel Cache Castrence, MD graduated from University of Maryland School of Medicine in 1995. He completed residency at Graduate Hospital. He is certified by the American Board of Internal Medicine and has a state license in Maryland.

Medical School: University of Maryland School of Medicine (1995)

Residency: Graduate Hospital

Board Certification: American Board of Internal Medicine

Licensed In: Maryland

Affiliations & Hospitals

Dr. Arnel Cache Castrence, MD is associated with these hospitals and organizations:

MedStar Health

Ratings & Reviews

Dr. Arnel Cache Castrence, MD has an exceptional overall rating with an average of 4.7 out of 5 stars based on 1620 ratings. We collect ratings and reviews of Dr. Arnel Cache Castrence, MD from all over the web to help you find the right in Waldorf, MD. 

4.7
Overall Rating
Leave a Review
Reviews From Around The Web
Overall Rating: 3.0 2022-03-12
Patient verified via Press Ganey
Although I am happy that Dr. C has a great assistant finally. I was very disappointed in the service that I received from him. This is the 1st time in 20 years that I've been with him that I was not pleased. It seemed like he dismiss the issues I was bringing up. Hair Loss, Weight Gain, Intestinal issues. He put in prescription renewals but not give me solution to continuous problems I have. The blood work should've been done again to see if the weight gain and hair loss is related to thyroid issues.
Overall Rating: 4.0 2022-11-12
Patient verified via Press Ganey
I have been his patient for 25 years so you had to have really messed things up for me to find an new doctor. I know you don't care because you will just fill my spot but he cares.
Overall Rating: 5.0 2023-09-12
Patient verified via Press Ganey
Dr castrensa always is thorough and gives clear, concise answers to any and all questions we have. Excellent Dr who we would recommend to anybody needing a very good doctor.
Overall Rating: 5.0 2024-11-24
Patient verified via Press Ganey
This was my second visit with Dr Castrence, he in my opinion is the best. He had some great recommendations for my overall health which I am absolutely going to implement.
Overall Rating: 3.0 2023-12-30
Patient verified via Press Ganey
After waiting for an hour I didn't want to hear anything - just get me out of there. All I got was a referral.
Overall Rating: 5.0 2022-03-11
Patient verified via Press Ganey
Dr. Castrence has been my primary care physician for many years. I am completely happy with his care!
Overall Rating: 5.0 2026-02-07
Patient verified via Press Ganey
Dr. Castrence explained the downside of a procedure I may have done at a later date.
Overall Rating: 5.0 2022-07-23
Patient verified via Press Ganey
Dr. Castrence is always warm and professional, I can't say enough good things.
Overall Rating: 5.0 2023-08-14
Patient verified via Press Ganey
I am very satisfied with Dr. *A Castrence. He is very kind.
Overall Rating: 5.0 2023-03-23
Patient verified via Press Ganey
I've already referred a family member to my care provider

To see all 1620 reviews for Dr. Arnel Cache Castrence, MD, view their full profile.

General Payments

These charts describe general payments received by Dr. Arnel Cache Castrence, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
AstraZeneca Pharmaceuticals LP $345 BYDUREON WEEKLY
$98 		FARXIGA
$68 		ONGLYZA
$29 		DUTOPROL
$23 		AIRSUPRA
$19 		Other
$109
Takeda Pharmaceuticals America, Inc. $275 Brintellix
$53 		Oseni
$51 		Contrave
$43 		Colcrys
$32 		Dexilant
$31 		Other
$66
FOREST PHARMACEUTICALS, INC. $246 VIIBRYD
$91 		DALIRESP
$79 		LINZESS
$33 		BYSTOLIC
$21 		SAPHRIS
$11 		Other
$11
Vertical Pharmaceuticals, LLC $246 Lorzone 750mg
$227 		ConZip 100mg
$19
Novo Nordisk Inc $201 Levemir
$77 		Victoza
$74 		NovoLog
$22
$28
Other $1,718 Belviq
$172 		ELIQUIS
$149 		INVOKANA
$109 		JANUMET XR
$103 		LANTUS
$88 		Other
$1,097
Types of Payments
Food and Beverage $2,738
Education $293

Biography

Dr. Arnel Castrence attended the University of Maryland School of Medicine and then went on to complete his residency at Graduate Hospital. Dr. Castrence's clinical interests include alcohol abuse, depression, and bronchiectasis. He has a 4.5 out of 5 star average patient rating. He is affiliated with MedStar Health. He has an open panel in Waldorf, MD according to Doctor.com.

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