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Damien L Smith, MD

Urology · Santa Cruz

NPI 1063603108

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
6

Offices

6 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: Dominican Hospital · Sutter Maternity & Surgery Center of Santa Cruz. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Smith’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A112593 · Current

Licensed to practise in California · since 2010 · expires 2027-11-30 · University of Missouri-Columbia School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Dominican HospitalSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 4 of 5 · 68% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Postoperative sepsis rate: 11.66 (8.02 to 15.3) · 412 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.168, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.169, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.489, Oct 2024 – Sep 2025
  • Sutter Maternity & Surgery Center of Santa CruzSanta Cruz, CAAcute Care Hospital · Voluntary non-profit - Private · No emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 85% would definitely recommend it
    No overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for Dominican Hospital

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 8 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Dominican Hospital
Postoperative sepsis rateComplications and deaths11.66 (8.02 to 15.3) · 412 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.168BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.169BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.489BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.01 (0.06 to 1.95) · 1,248 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.14 (0.85 to 1.43)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths134.37 (94.33 to 174.41) · 132 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 54 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.2 · 137 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12 · 228 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 534 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.8 · 491 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.7 · 278 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 2,973 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.14 (0 to 0.34) · 7,510 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.21 (0.02 to 0.4) · 7,695 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.42 (1.44 to 5.4) · 1,594 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.26 (0 to 2.76) · 436 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths1.85 (0.4 to 3.29) · 1,474 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.73 (3 to 14.46) · 437 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.58 (0.13 to 3.03) · 343 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.17) · 6,336 casesNo differentJul 2022 – Jun 2024
MRSA BacteremiaInfections0.615No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.937No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits16 · 212 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22 · 505 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits45 · 237 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-13.5 · 594 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.9 · 510 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 473 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.2 (3.4 to 7.8) · 126 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13 (9.4 to 17.7) · 126 casesNo differentJan 2024 – Dec 2024
Rate of readmission for CABGUnplanned return visits12.7 · 43 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 143 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.1 (9.4 to 15.4) · 1,585 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 390 casesNo differentJan 2024 – Dec 2024

What patients said (774 patients answered, 23% of those asked)

Patient survey stars by topic at Dominican Hospital
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness1
Recommend hospital4
Share of patients giving the best answer at Dominican Hospital
Room was "always" clean73%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand77%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night32%
"YES", patients would definitely recommend the hospital68%
Staff "always" explained possible side effects48%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Sutter Maternity & Surgery Center of Santa Cruz

Behind the star rating — Deaths: 0 better, 1 the same, 0 worse of 1 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 0 better, 4 the same, 0 worse of 4 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Maternity & Surgery Center of Santa Cruz
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.04 (0 to 2.12) · 59 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.01 (0.5 to 1.52)No differentJul 2022 – Jun 2024
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 63 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 118 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.49) · 116 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.36 (0.77 to 5.95) · 113 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.65 (0 to 3.37) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.28 (0.56 to 4) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.41 (0 to 18.05) · 109 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.75 (2.52 to 10.98) · 102 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.75 (0.23 to 3.28) · 42 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.61 (0 to 1.94) · 51 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.6 · 30 casesNoneApr 2023 – Mar 2025
Rate of readmission after hip/knee replacementUnplanned return visits5.3 · 32 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.7 (9.2 to 14.9) · 3,197 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.3) · 506 casesNo differentJan 2024 – Dec 2024

What patients said (203 patients answered, 24% of those asked)

Patient survey stars by topic at Sutter Maternity & Surgery Center of Santa Cruz
Cleanliness5
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information5
Overall hospital rating5
Quietness4
Recommend hospital5
Share of patients giving the best answer at Sutter Maternity & Surgery Center of Santa Cruz
Room was "always" clean84%
Nurses "always" communicated well83%
Doctors "always" communicated well83%
Staff "always" explained62%
Yes, staff "did" give patients this information93%
Yes, staff "did" give patients information about help after discharge96%
Doctors "always" explained things so they could understand79%
Doctors "always" listened carefully83%
Doctors "always" treated them with courtesy and respect88%
Patients who gave a rating of "9" or "10" (high)87%
Staff "always" explained new medications78%
Nurses "always" explained things so they could understand78%
Nurses "always" listened carefully82%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night69%
"YES", patients would definitely recommend the hospital85%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$360,851

Medicare paid this office $360,851 for 784 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)430$52,230$94
Diagnostic exam of bladder and urethra using an endoscope108$27,128$210
Leuprolide acetate (for depot suspension), 7.5 mg22$20,499None
New patient visit (45+ min)151$18,060$120
Long return visit (40+ min)98$17,492$143
See all 28 services
Every Original Medicare service billed
Return visit (30+ min)430$52,230$94
Diagnostic exam of bladder and urethra using an endoscope108$27,128$210
Leuprolide acetate (for depot suspension), 7.5 mg22$20,499None
New patient visit (45+ min)151$18,060$120
Long return visit (40+ min)98$17,492$143
Short return visit (20+ min)222$16,244$67
Simple surgical subtotal removal of prostate using laparoscope13$10,602$816
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's511$8,405$13
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope19$6,222$283
New patient visit (60+ min)31$5,372$173
Needle biopsy of prostate gland using image guidance15$4,693$313
Limited ultrasound scan of pelvis102$4,304$38
Crushing of stone of ureter with insertion of stent using an endoscope11$4,221$325
Ultrasound scan of pelvic region through rectum34$4,135$122
Dilation of urethra using an endoscope13$3,918$280
Simple change of bladder tube13$3,478$79
Simple bladder irrigation and/or instillation35$3,323$66
Biopsy of prostate gland16$2,721$170
Manual urinalysis test with examination using microscope, automated440$2,028$3
Simple insertion of temporary bladder tube19$1,908$52
Office for the evaluation and management of established patient that may not require presence of healthcare professional29$1,598$20
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle23$1,517$32
Ultrasound measurement of bladder capacity after voiding142$1,439$9
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes11$1,167$106
Insertion of stent in ureter using an endoscope11$960$80
Ultrasound scan of pelvic region through rectum19$533$27
Injection of drug or substance under skin or into muscle14$364$13
Electronic assessment of bladder emptying18$135$8

Procedures Medicare counted

Procedure volume Medicare published
Melanoma (skin cancer) excision1-10None
Prostate resection21More than 81% of doctors who do this
Removal of skin lesions1-10None

Who their Medicare patients are

784 Original Medicare patients in 2024. Average age 75 · Under 65 3% · 85 and older 12% · Women 19% · Also on Medicaid 14% · Health risk score 1.10. At or below the middle of the specialty; the typical urology clinician is at 1.36.

Conditions among them: High blood pressure 65% · Cancer 34% · Chronic kidney disease 24% · Coronary heart disease 23% · Diabetes 22% · Atrial fibrillation 22% · Depression 16% · Heart failure 13% · COPD 8% · Dementia 5% · Stroke 5%.

The office billed $1,831,525, Medicare allowed $476,253 and paid $360,851; for 19,170 services of 87 kinds; $110,674 of it was for drugs given in the office and $250,177 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202478419,170751.10$1,831,525$360,851
202375513,367751.12$1,464,424$294,865
20226948,889751.11$1,255,775$264,727
202173815,632751.23$1,604,397$319,244
202067013,378741.29$1,567,366$304,935
201958123,337741.26$1,095,253$240,029
20184026,822731.45$761,239$159,396
20172831,586731.30$560,402$111,793
2016135619741.09$212,342$44,440
201578366731.34$50,177$33,497
2014128708741.27$85,272$60,627
2013119681731.34$65,024$47,225

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 28 services

Original Medicare services billed in 2023
Return visit (30+ min)462$58,478$95
Diagnostic exam of bladder and urethra using an endoscope93$26,633$220
New patient visit (45+ min)117$15,873$136
Long return visit (40+ min)74$12,529$151
Leuprolide acetate (for depot suspension), 7.5 mg14$10,014None
Short return visit (20+ min)95$7,279$71
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope11$6,657$605
New patient visit (60+ min)40$6,556$164
Crushing of stone of ureter with insertion of stent using an endoscope16$6,172$343
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope19$5,517$276
Limited ultrasound scan of pelvis117$5,287$41
Insertion of lower leg neurostimulator electrode27$5,075$110
Biopsy of prostate gland20$4,028$201
Simple change of bladder tube19$3,515$82
Ultrasound scan of pelvic region through rectum21$2,642$126
Simple bladder irrigation and/or instillation26$2,347$69
Insertion of stent in ureter using an endoscope24$2,311$83
Manual urinalysis test with examination using microscope, automated433$2,123$3
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,093$110
Office for the evaluation and management of established patient that may not require presence of healthcare professional44$1,945$20
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$1,813$67
Simple insertion of temporary bladder tube21$1,640$50
Ultrasound measurement of bladder capacity after voiding143$1,580$10
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes14$835$42
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle14$797$32
Ultrasonic guidance during surgery11$468$43
Imaging of urinary tract following injection of a contrast agent15$354$21
Injection of drug or substance under skin or into muscle12$243$13

2022: 25 services

Original Medicare services billed in 2022
Return visit (30+ min)484$58,615$96
Diagnostic exam of bladder and urethra using an endoscope108$31,761$221
New patient visit (45+ min)96$12,751$133
Leuprolide acetate (for depot suspension), 7.5 mg18$11,987None
Crushing of stone of ureter with insertion of stent using an endoscope25$10,505$362
New patient visit (60+ min)50$9,644$193
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope28$9,472$296
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope13$8,126$625
Long return visit (40+ min)46$7,474$153
Limited ultrasound scan of pelvis113$4,665$39
Biopsy of prostate gland19$4,079$215
Short return visit (20+ min)43$3,259$71
Insertion of stent in ureter using an endoscope27$2,991$93
Ultrasound scan of pelvic region through rectum26$2,878$111
Manual urinalysis test with examination using microscope, automated526$2,396$3
Simple bladder irrigation and/or instillation26$2,059$66
Simple insertion of temporary bladder tube21$1,805$53
Simple change of bladder tube12$1,357$75
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle12$1,322$73
Office for the evaluation and management of established patient that may not require presence of healthcare professional42$1,003$19
Ultrasound measurement of bladder capacity after voiding91$988$9
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$687$33
Imaging of urinary tract following injection of a contrast agent16$406$21
Injection of drug or substance under skin or into muscle12$249$13
Imaging guidance for procedure, 60 minutes or less14$221$13

2021: 29 services

Original Medicare services billed in 2021
Return visit (30+ min)371$51,235$101
Diagnostic exam of bladder and urethra using an endoscope106$30,250$212
Leuprolide acetate (for depot suspension), 7.5 mg39$28,013None
Surgical removal of prostate and surrounding lymph nodes using an endoscope15$15,504$1,034
Injection, testosterone undecanoate, 1 mg13$14,177None
New patient visit (45+ min)108$13,372$124
Long return visit (40+ min)77$11,223$137
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope17$10,534$620
Insertion of lower leg neurostimulator electrode41$9,608$113
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope31$9,480$279
Crushing of stone of ureter with insertion of stent using an endoscope23$8,609$344
Short return visit (20+ min)73$5,898$73
Biopsy of prostate gland21$4,642$221
New patient visit (60+ min)22$4,126$188
Simple change of bladder tube19$4,050$84
Limited ultrasound scan of pelvis91$3,782$39
Ultrasound scan of pelvic region through rectum24$3,453$133
Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm16$3,118$183
Simple bladder irrigation and/or instillation34$3,071$70
Simple insertion of temporary bladder tube26$2,919$56
Manual urinalysis test with examination using microscope, automated509$2,783$3
Office for the evaluation and management of established patient that may not require presence of healthcare professional89$2,765$20
Insertion of stent in ureter using an endoscope27$2,562$88
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle33$1,668$30
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle12$924$77
Ultrasound measurement of bladder capacity after voiding79$844$9
Imaging of urinary tract following injection of a contrast agent32$779$22
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$723$33
Injection of drug or substance under skin or into muscle26$398$13

2020: 29 services

Original Medicare services billed in 2020
Leuprolide acetate (for depot suspension), 7.5 mg41$34,763None
Return visit (30+ min)200$22,998$95
Surgical removal of prostate and surrounding lymph nodes using an endoscope18$19,573$1,087
Diagnostic exam of bladder and urethra using an endoscope71$17,192$185
New patient visit (45+ min)136$16,395$121
Crushing of stone of ureter with insertion of stent using an endoscope36$16,216$386
Insertion of lower leg neurostimulator electrode67$14,629$112
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope41$11,866$264
Injection, testosterone undecanoate, 1 mg11$11,529None
Short return visit (20+ min)166$10,750$52
Long return visit (40+ min)67$8,487$123
Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope11$7,086$644
Biopsy of prostate gland28$6,015$215
Simple bladder irrigation and/or instillation45$5,335$67
Insertion of stent in ureter using an endoscope44$4,948$95
Simple change of bladder tube34$4,853$80
Ultrasound scan of pelvic region through rectum28$3,761$134
Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm16$3,229$190
Removal of lymph nodes of both sides of pelvis using an endoscope12$3,011$251
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes32$2,435$33
Office for the evaluation and management of established patient that may not require presence of healthcare professional72$2,419$20
Simple insertion of temporary bladder tube21$2,395$53
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes26$2,361$87
Manual urinalysis test with examination using microscope, automated402$2,254$3
Imaging of urinary tract following injection of a contrast agent61$1,888$22
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle36$1,539$29
Ultrasound measurement of bladder capacity after voiding75$890$9
Limited ultrasound scan of pelvis17$723$43
Injection of drug or substance under skin or into muscle27$498$12

2019: 28 services

Original Medicare services billed in 2019
Injection, testosterone undecanoate, 1 mg17$21,644None
New patient visit (45+ min)152$18,919$124
Leuprolide acetate (for depot suspension), 7.5 mg25$18,512None
Partial removal of kidney using an endoscope16$16,246$956
Short return visit (20+ min)166$13,506$56
Return visit (30+ min)117$13,227$85
Insertion of lower leg neurostimulator electrode72$12,472$105
Surgical removal of prostate and surrounding lymph nodes using an endoscope13$9,852$758
Crushing of stone of ureter with insertion of stent using an endoscope22$9,623$370
Diagnostic exam of bladder and urethra using an endoscope38$7,809$170
Long return visit (40+ min)52$6,527$117
Biopsy of prostate gland27$5,882$218
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope18$4,800$240
Simple bladder irrigation and/or instillation36$3,778$63
Ultrasound scan of pelvic region through rectum27$3,113$115
Simple change of bladder tube23$3,021$79
Manual urinalysis test with examination using microscope, automated374$2,439$3
Simple insertion of temporary bladder tube23$2,134$50
Insertion of stent in ureter using an endoscope17$1,600$84
Ultrasound measurement of bladder capacity after voiding85$1,233$10
Office for the evaluation and management of established patient that may not require presence of healthcare professional66$1,209$17
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes15$1,093$33
Injection of drug or substance under skin or into muscle36$937$15
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle23$915$28
Instillation of anti-cancer drug into bladder11$827$64
Imaging of urinary tract following injection of a contrast agent29$794$22
Ultrasonic guidance during surgery11$625$52
Injection, tobramycin sulfate, up to 80 mg11$70None

2018: 23 services

Original Medicare services billed in 2018
New patient visit (45+ min)153$19,327$126
Return visit (30+ min)106$13,314$85
Short return visit (20+ min)172$11,594$53
Surgical removal of prostate and surrounding lymph nodes using an endoscope12$9,441$787
Diagnostic exam of bladder and urethra using an endoscope54$8,697$138
Leuprolide acetate (for depot suspension), 7.5 mg14$7,347None
Long return visit (40+ min)34$4,147$109
Biopsy of prostate gland18$3,743$208
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope14$3,116$208
Ultrasound measurement of bladder capacity after voiding139$2,631$13
Simple bladder irrigation and/or instillation36$2,553$61
Ultrasound scan of pelvic region through rectum23$1,960$85
Insertion of stent in ureter using an endoscope14$1,696$113
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$1,243$83
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes17$1,191$32
Simple insertion of temporary bladder tube14$1,120$56
Manual urinalysis test with examination using microscope, automated178$1,110$4
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle19$650$25
Urinalysis, manual test119$574$3
Ultrasonic guidance for needle placement12$564$47
Injection of drug or substance under skin or into muscle13$411$18
Imaging of urinary tract following injection of a contrast agent23$383$15
Office for the evaluation and management of established patient that may not require presence of healthcare professional12$244$19

2017: 19 services

Original Medicare services billed in 2017
New patient visit (45+ min)148$17,285$117
Short return visit (20+ min)142$11,870$56
Diagnostic exam of bladder and urethra using an endoscope53$8,438$136
Return visit (30+ min)59$6,727$84
Biopsy of prostate gland25$4,707$188
Complex measurement of pressure of urine flow in bladder with voiding pressure studies16$4,150$259
Ultrasound measurement of bladder capacity after voiding135$3,088$16
New patient visit (60+ min)16$2,663$166
Long return visit (40+ min)15$2,232$117
Ultrasound scan of pelvic region through rectum25$1,899$76
Insertion of device into abdomen with pressure and urine flow rate study16$1,504$94
Urinalysis, manual test216$1,427$3
Simple bladder irrigation and/or instillation23$1,399$47
Ultrasonic guidance for needle placement25$1,202$48
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes13$939$31
New patient visit (30+ min)11$701$64
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings16$459$29
Imaging of urinary tract following injection of a contrast agent12$200$14
Electronic assessment of bladder emptying12$78$7

2016: 7 services

Original Medicare services billed in 2016
New patient visit (45+ min)86$11,405$133
Diagnostic exam of bladder and urethra using an endoscope29$5,095$170
Short return visit (20+ min)44$3,260$58
New patient visit (30+ min)30$2,564$85
Return visit (30+ min)14$1,500$88
Ultrasound measurement of bladder capacity after voiding65$1,423$16
Urinalysis, manual test107$600$3

2015: 5 services

Original Medicare services billed in 2015
Diagnostic exam of bladder and urethra using an endoscope17$2,945$164
Return visit (30+ min)29$2,815$78
Short return visit (20+ min)28$1,361$40
Ultrasound measurement of bladder capacity after voiding29$559$15
Manual urinalysis test with examination using microscope, non-automated48$295$4

2014: 10 services

Original Medicare services billed in 2014
Return visit (30+ min)51$6,397$80
New patient visit (45+ min)42$4,554$108
Short return visit (20+ min)55$4,203$52
Diagnostic exam of bladder and urethra using an endoscope19$3,891$162
Biopsy of prostate gland13$2,273$175
Ultrasound scan of pelvic region through rectum13$995$77
Ultrasonic guidance for needle placement13$782$60
Manual urinalysis test with examination using microscope, non-automated87$689$4
Ultrasound measurement of bladder capacity after voiding28$643$15
Routine electrocardiogram (ecg) using at least 12 leads with tracing15$108$6

2013: 10 services

Original Medicare services billed in 2013
New patient visit (45+ min)49$6,151$126
Return visit (30+ min)48$5,474$83
Diagnostic exam of bladder and urethra using an endoscope33$5,292$160
Short return visit (20+ min)45$3,671$56
Ultrasound measurement of bladder capacity after voiding41$953$16
Short return visit18$794$36
Automated urinalysis test75$448$3
Manual urinalysis test with examination using microscope, non-automated34$175$4
Routine electrocardiogram (ecg) using at least 12 leads with tracing14$120$9
Electronic assessment of bladder emptying12$83$7

Medicaid work

$8,441 in 2023

Medicaid paid $8,441 for 226 billed services this clinician did in 2023, up to 17 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
Return visit (30+ min)121$8,333
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy105$108
Medicaid work by year
2023226217$8,441
2022202218$4,572
2021104217$2,954
2020178220$2,372
2019242226$1,051
2018322526$11,108
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
Return visit (30+ min)70$4,371
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy132$201

2021

Largest Medicaid services in 2021
Return visit (30+ min)38$2,856
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy66$98

2020

Largest Medicaid services in 2020
New patient visit (45+ min)15$2,138
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy163$234

2019

Largest Medicaid services in 2019
Short return visit (20+ min)15$665
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy227$386

2018

Largest Medicaid services in 2018
Short return visit (20+ min)83$5,703
New patient visit (45+ min)31$3,859
Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging71$1,267
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy90$191
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy47$88

Drugs they prescribed that Part D paid

$155,575

Pharmacies billed $155,575 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

1,086 generic and fewer than 11 brand-name prescriptions · $155,575 in drug cost · 71 antibiotic prescriptions to 60 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Myrbetriq87$55,319$636
Orgovyx13$35,499$2,731
Tamsulosin454$7,861$17
Testosterone34$6,845$201
Desmopressin Acetate24$3,546$148
See all 18 drugs
Every Part D drug this clinician prescribed
Myrbetriq87$55,319$636
Orgovyx13$35,499$2,731
Tamsulosin454$7,861$17
Testosterone34$6,845$201
Desmopressin Acetate24$3,546$148
Finasteride214$3,448$16
Toviaz13$3,345$257
Trospium Chloride55$2,996$54
Dutasteride41$1,611$39
Solifenacin29$1,295$45
Oxybutynin Chloride Er26$889$34
Megestrol Acetate13$570$44
Alfuzosin Hcl Er32$552$17
Testosterone Cypionate14$315$23
Bicalutamide12$171$14
Ciprofloxacin22$71$3
Amoxicillin-Clavulanate Potass11$57$5
Hydrochlorothiazide11$23$2

Year by year

Part D prescribing by year
20241,220374NoneNone$155,575
20231,4624042% (25)8%$151,122
20221,253364NoneNone$115,612
20211,2423702% (27)None$141,483
20209763223% (27)None$82,919
20198322545% (45)None$74,080
20187901903% (26)None$88,555
20174301247% (28)26%$55,267
20163941134% (15)10%$20,128
20151,0092316% (55)None$28,427
20141,31131910% (133)None$47,255
20138122018% (63)18%$50,484

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 23 drugs

Part D drugs prescribed in 2023
Myrbetriq84$59,776$712
Tamsulosin493$14,740$30
Finasteride285$7,359$26
Testosterone31$4,015$130
Desmopressin Acetate23$3,927$171
Methenamine Hippurate32$3,593$112
Trospium Chloride35$2,673$76
Potassium Citrate Er16$2,424$151
Oxybutynin Chloride Er49$2,236$46
Solifenacin13$2,089$161
Dutasteride34$1,716$50
Bethanechol Chloride11$938$85
Alfuzosin Hcl Er30$610$20
Amoxicillin-Clavulanate Potass42$450$11
Testosterone Cypionate11$332$30
Nitrofurantoin Mono-Macro14$198$14
Hydrocodone-Acetaminophen17$155$9
Ciprofloxacin32$139$4
Sulfamethoxazole-Trimethoprim20$123$6
Hydrochlorothiazide16$100$6
Cephalexin15$84$6
Sildenafil Citrate11$49$4
Amoxicillin13$47$4

2022: 17 drugs

Part D drugs prescribed in 2022
Myrbetriq85$49,538$583
Tamsulosin423$9,168$22
Finasteride265$5,825$22
Tolterodine Tartrate Er26$3,608$139
Dutasteride39$3,277$84
Methenamine Hippurate26$2,845$109
Potassium Citrate Er25$1,957$78
Oxybutynin Chloride Er40$1,821$46
Solifenacin21$1,781$85
Desmopressin Acetate15$1,303$87
Testosterone13$804$62
Alfuzosin Hcl Er27$574$21
Bicalutamide11$415$38
Levofloxacin19$135$7
Hydrochlorothiazide28$127$5
Cephalexin13$127$10
Ciprofloxacin21$69$3

2021: 23 drugs

Part D drugs prescribed in 2021
Myrbetriq111$70,346$634
Finasteride242$6,160$25
Tamsulosin330$5,761$17
Tolterodine Tartrate Er44$5,159$117
Oxybutynin Chloride Er47$2,919$62
Methenamine Hippurate17$2,321$137
Potassium Citrate Er13$2,028$156
Solifenacin19$1,848$97
Dutasteride24$1,639$68
Desmopressin Acetate20$1,601$80
Testosterone14$1,089$78
Alfuzosin Hcl Er27$567$21
Bicalutamide16$555$35
Nitrofurantoin Mono-Macro19$524$28
Oxybutynin Chloride15$480$32
Levofloxacin17$265$16
Amoxicillin-Clavulanate Potass26$234$9
Allopurinol11$220$20
Ciprofloxacin39$204$5
Hydrocodone-Acetaminophen25$187$7
Cephalexin28$147$5
Hydrochlorothiazide28$124$4
Sulfamethoxazole-Trimethoprim15$48$3

2020: 17 drugs

Part D drugs prescribed in 2020
Myrbetriq83$42,448$511
Finasteride178$3,692$21
Tamsulosin227$3,374$15
Testosterone14$2,921$209
Oxybutynin Chloride Er47$2,531$54
Dutasteride35$2,025$58
Tolterodine Tartrate Er14$1,844$132
Nitrofurantoin Mono-Macro18$668$37
Tadalafil17$636$37
Bicalutamide16$378$24
Levofloxacin16$265$17
Alfuzosin Hcl Er21$257$12
Sulfamethoxazole-Trimethoprim34$248$7
Amoxicillin-Clavulanate Potass34$232$7
Hydrocodone-Acetaminophen19$171$9
Ciprofloxacin51$168$3
Cephalexin22$70$3

2019: 17 drugs

Part D drugs prescribed in 2019
Myrbetriq99$44,073$445
Tamsulosin182$2,893$16
Finasteride157$2,708$17
Nitrofurantoin Mono-Macro25$1,866$75
Potassium Citrate Er13$1,816$140
Tolterodine Tartrate Er12$1,436$120
Dutasteride23$1,218$53
Oxybutynin Chloride Er13$544$42
Testosterone Cypionate11$511$46
Alfuzosin Hcl Er26$424$16
Oxycodone-Acetaminophen23$237$10
Levofloxacin21$224$11
Ciprofloxacin52$204$4
Amoxicillin-Clavulanate Potass21$177$8
Sulfamethoxazole-Trimethoprim29$125$4
Hydrocodone-Acetaminophen16$122$8
Cephalexin16$97$6

2018: 16 drugs

Part D drugs prescribed in 2018
Myrbetriq71$25,962$366
Vesicare20$15,497$775
Toviaz32$15,080$471
Rapaflo12$2,912$243
Tamsulosin155$2,457$16
Finasteride145$2,286$16
Nitrofurantoin Mono-Macro31$1,903$61
Tolterodine Tartrate Er17$1,805$106
Potassium Citrate Er11$1,519$138
Dutasteride21$816$39
Alfuzosin Hcl Er34$517$15
Levofloxacin15$462$31
Bicalutamide18$280$16
Oxycodone-Acetaminophen18$241$13
Ciprofloxacin55$218$4
Sulfamethoxazole-Trimethoprim20$53$3

2017: 11 drugs

Part D drugs prescribed in 2017
Vesicare44$21,075$479
Toviaz29$12,005$414
Tolterodine Tartrate Er19$3,585$189
Rapaflo12$2,736$228
Tamsulosin81$1,428$18
Finasteride59$881$15
Bicalutamide14$283$20
Ciprofloxacin50$190$4
Oxycodone-Acetaminophen17$167$10
Hydrocodone-Acetaminophen11$61$6
Sulfamethoxazole-Trimethoprim13$50$4

2016: 6 drugs

Part D drugs prescribed in 2016
Vesicare18$6,726$374
Tamsulosin124$2,287$18
Finasteride124$1,367$11
Bicalutamide18$290$16
Ciprofloxacin29$144$5
Oxycodone-Acetaminophen11$96$9

2015: 13 drugs

Part D drugs prescribed in 2015
Tamsulosin296$7,344$25
Vesicare19$4,947$260
Toviaz13$4,178$321
Finasteride281$3,026$11
Nitrofurantoin Mono-Macro60$1,386$23
Ciprofloxacin119$904$8
Alfuzosin Hcl Er27$442$16
Oxycodone-Acetaminophen33$407$12
Bicalutamide23$389$17
Oxybutynin Chloride11$209$19
Hydrocodone-Acetaminophen20$103$5
Megestrol Acetate12$55$5
Sulfamethoxazole-Trimethoprim13$53$4

2014: 18 drugs

Part D drugs prescribed in 2014
Vesicare36$10,172$283
Toviaz30$6,610$220
Potassium Citrate Er25$5,539$222
Rapaflo22$4,173$190
Tamsulosin241$4,008$17
Finasteride211$3,515$17
Ciprofloxacin351$1,905$5
Nitrofurantoin Mono-Macro35$1,245$36
Bicalutamide20$1,148$57
Bethanechol Chloride18$1,037$58
Oxybutynin Chloride Er18$851$47
Oxybutynin Chloride26$770$30
Oxycodone-Acetaminophen86$721$8
Alfuzosin Hcl Er21$349$17
Hydrocodone-Acetaminophen35$236$7
Hydrochlorothiazide18$196$11
Allopurinol16$195$12
Sulfamethoxazole-Trimethoprim17$107$6

2013: 13 drugs

Part D drugs prescribed in 2013
Vesicare32$9,163$286
Rapaflo48$7,585$158
Toviaz30$6,522$217
Finasteride103$2,156$21
Tamsulosin151$2,141$14
Bethanechol Chloride21$1,127$54
Ciprofloxacin167$867$5
Nitrofurantoin Mono-Macro13$741$57
Oxybutynin Chloride21$429$20
Sulfamethoxazole-Trimethoprim47$291$6
Oxycodone-Acetaminophen50$248$5
Cephalexin11$100$9
Phenazopyridine12$54$4

Money from drug and device companies

$162 in 2025

Industry payments by year
202524None$162
202422None$192
202313None$251
202111None$92
202012None$381

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Procept BioroboticsAquabeam Robotic System$139
3 payments
  • Meals for Aquabeam Robotic System · 2025-08-14 · $24
  • Meals for Aquabeam Robotic System · 2025-08-12 · $4
  • Meals for Aquabeam Robotic System · 2025-07-24 · $111
ColoplastSupris$23
1 payment
  • Meals for Supris · 2025-03-21 · $23
See all 4 published payments
Every published payment
Procept BioroboticsMeals · 2025-08-14Aquabeam Robotic System$24
Procept BioroboticsMeals · 2025-08-12Aquabeam Robotic System$4
Procept BioroboticsMeals · 2025-07-24Aquabeam Robotic System$111
ColoplastMeals · 2025-03-21Supris$23
See earlier years (2024, 2023, 2021, 2020)

2024: $192

Payments by company in 2024
Boston ScientificLithovue$138
1 payment
  • Meals for Lithovue · 2024-05-22 · $138
SRS Medical SystemsCt3000 Pro Base Unit$54
1 payment
  • Meals for Ct3000 Pro Base Unit · 2024-06-28 · $54

2023: $251

Payments by company in 2023
Boston ScientificLithovue$251
3 payments
  • Meals for Spaceoar Vue System - 10ml · 2023-12-08 · $101
  • Meals for Lithoclast · 2023-08-15 · $10
  • Meals for Lithovue · 2023-03-21 · $140

2021: $92

Payments by company in 2021
Boston ScientificLithovue$92
1 payment
  • Meals for Lithovue · 2021-12-08 · $92

2020: $381

Payments by company in 2020
Boston ScientificGeneral - Kidney Stone Disease$381
2 payments
  • Meals for General - Kidney Stone Disease · 2020-03-06 · $168
  • Travel for General - Kidney Stone Disease · 2020-03-06 · $213

Professional record

NPI
1063603108
Licence
CA A112593California A112593: Current · expires 2027-11-30
Trained
University of Missouri, Columbia School of Medicine, 2004
Video visits
Lists video visits
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
LA 1091430
Taxonomy
Urology (208800000X)
Mailing address
2350 W El Camino Real Fl 2, Mountain View, CA, 94040
NPI first listed
2007-08-05
NPI last updated
2018-06-20

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 1667 Dominican Way, Santa Cruz, CA, 95065