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Terrence R Sullivan, MD

Urology · Los Gatos

NPI 1447244785

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • 1 Medical Board action on record

Offices

1 location

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. Sullivan’s office at (408) 590-3159 to ask if they take your plan before you enroll.

California Medical Board record

Licence G25099 · Current

Licensed to practise in California · since 1973 · expires 2029-02-28 · Saint Louis University School of Medicine.

Public record actions

Actions the Medical Board of California publishes for this licence
2006-09-28Board disciplineDisciplineProbation completed. · 03 1997081928

Surgery centers they own

  • Forest Surgery Center LPAmbulatory Surgery Center · San Jose, CAOwner · accredited by JC
    Accreditation Renewed1 inspection, 1 with deficiencies · last 2012-09-18: Requirements Met

Original Medicare doctor bills

$2,353

Medicare paid this office $2,353 for 17 people.

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

Largest Original Medicare bills
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes13$1,493$115

Who their Medicare patients are

17 Original Medicare patients in 2024. Average age 80 · Under 65 0% · Health risk score 2.16. Sicker patients than 9 in 10 peers; the typical urology clinician is at 1.36.

Conditions among them: High blood pressure 75%.

The office billed $5,975, Medicare allowed $2,953 and paid $2,353; for 20 services of 3 kinds.

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
20241720802.16$5,975$2,353
202217118,074771.27$121,294$38,453
202123448,315771.40$212,309$68,796
202025961,015771.42$246,289$69,452
201932966,225771.42$317,155$98,164
201836254,399771.41$311,487$96,767
201736438,323771.38$296,825$96,034
201640339,044771.46$362,476$118,285
201544253,702771.37$438,982$150,738
20144264,137771.29$371,631$125,824
20135031,901771.28$436,219$144,263

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

2022: 3 services

Original Medicare services billed in 2022
Short return visit (20+ min)152$16,061$72
Return visit (30+ min)15$2,040$113
Manual urinalysis test with examination using microscope, automated140$610$3

2021: 11 services

Original Medicare services billed in 2021
Short return visit (20+ min)192$28,753$78
Short return visit13$7,437$53
Return visit (30+ min)27$3,234$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes22$2,613$119
Injection of drug or substance under skin or into muscle14$2,185$14
Simple bladder irrigation and/or instillation14$1,717$72
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes11$1,451$66
New patient visit (30+ min)14$1,422$102
Injection, testosterone cypionate, 1 mg14$1,075None
Manual urinalysis test with examination using microscope, automated172$897$3
Ultrasound measurement of bladder capacity after voiding22$250$10

2020: 9 services

Original Medicare services billed in 2020
Short return visit (20+ min)217$23,560$62
Short return visit15$7,841$42
Injection of drug or substance under skin or into muscle13$2,610$13
Return visit (30+ min)16$2,529$97
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes20$2,514$126
New patient visit (30+ min)17$1,653$97
Injection, testosterone cypionate, 1 mg13$1,289None
Manual urinalysis test with examination using microscope, automated182$866$3
Ultrasound measurement of bladder capacity after voiding25$300$9

2019: 15 services

Original Medicare services billed in 2019
Short return visit (20+ min)271$35,190$62
Leuprolide acetate (for depot suspension), 7.5 mg14$15,013None
Short return visit15$8,075$42
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes31$4,053$123
Return visit (30+ min)29$3,522$98
Injection of drug or substance under skin or into muscle14$3,420$16
New patient visit (30+ min)36$3,038$84
Ultrasound measurement of bladder capacity after voiding111$2,215$13
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes14$2,162$66
Simple bladder irrigation and/or instillation11$1,583$75
Manual urinalysis test with examination using microscope, automated248$1,580$3
Complete ultrasound scan behind abdominal cavity12$1,385$115
Injection, testosterone cypionate, 1 mg14$1,313None
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle14$870$29
Manual urinalysis test with examination using microscope, non-automated30$122$4

2018: 14 services

Original Medicare services billed in 2018
Short return visit (20+ min)284$34,524$61
Short return visit17$6,525$40
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes23$4,576$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes37$4,562$120
New patient visit (30+ min)52$4,501$87
Diagnostic exam of bladder and urethra using an endoscope14$3,562$148
Injection of drug or substance under skin or into muscle16$3,536$20
Manual urinalysis test with examination using microscope, non-automated268$1,816$4
Return visit (30+ min)15$1,366$91
Ultrasound measurement of bladder capacity after voiding58$1,297$15
Complete ultrasound scan behind abdominal cavity11$1,206$110
Injection, testosterone cypionate, 1 mg15$975None
Simple bladder irrigation and/or instillation13$897$64
Manual urinalysis test with examination using microscope, automated15$58$4

2017: 13 services

Original Medicare services billed in 2017
Short return visit (20+ min)262$28,396$60
Leuprolide acetate (for depot suspension), 7.5 mg11$12,089None
New patient visit (30+ min)61$5,591$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes40$5,248$119
Short return visit16$4,798$39
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes24$4,599$65
Return visit (30+ min)31$3,896$93
Diagnostic exam of bladder and urethra using an endoscope15$3,669$153
Injection of drug or substance under skin or into muscle13$3,077$24
Simple bladder irrigation and/or instillation17$1,991$71
Manual urinalysis test with examination using microscope, non-automated276$1,880$4
Ultrasound measurement of bladder capacity after voiding32$794$19
Injection, testosterone cypionate, 1 mg11$642None

2016: 16 services

Original Medicare services billed in 2016
Short return visit (20+ min)305$32,452$59
Leuprolide acetate (for depot suspension), 7.5 mg16$20,043None
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes52$7,003$115
Short return visit33$5,335$37
Diagnostic exam of bladder and urethra using an endoscope20$5,321$172
New patient visit (30+ min)58$5,228$90
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes21$3,520$62
Return visit (30+ min)28$2,918$88
Biopsy of prostate gland13$2,442$188
Injection of drug or substance under skin or into muscle13$2,384$24
Manual urinalysis test with examination using microscope, non-automated304$2,141$4
Simple bladder irrigation and/or instillation21$2,019$72
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle16$1,342$30
Injection, testosterone cypionate, 1 mg14$765None
Ultrasonic guidance for needle placement13$678$52
Ultrasound measurement of bladder capacity after voiding26$502$17

2015: 21 services

Original Medicare services billed in 2015
Short return visit (20+ min)277$29,506$62
Return visit (30+ min)161$19,567$91
Leuprolide acetate (for depot suspension), 7.5 mg15$17,708None
Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method14$6,799$486
New patient visit (45+ min)46$6,639$144
Initial hospital care with moderate level of medical decision making at least 75 minutes33$6,082$179
Short return visit26$5,866$37
Diagnostic exam of bladder and urethra using an endoscope18$5,361$185
Biopsy of prostate gland17$3,492$205
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle18$2,338$32
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes22$2,115$64
Simple bladder irrigation and/or instillation22$2,000$77
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes16$1,937$121
New patient visit (30+ min)21$1,900$90
Ultrasound scan of pelvic region through rectum17$1,510$89
Injection of drug or substance under skin or into muscle15$1,351$21
Injection, testosterone cypionate, 1 mg16$1,076None
Ultrasonic guidance for needle placement16$921$58
Ultrasound measurement of bladder capacity after voiding37$769$18
Manual urinalysis test with examination using microscope, non-automated76$351$4
Electronic assessment of bladder emptying11$182$15

2014: 14 services

Original Medicare services billed in 2014
Short return visit (20+ min)303$28,756$59
Leuprolide acetate (for depot suspension), 7.5 mg14$14,631None
Return visit (30+ min)85$10,620$91
Short return visit36$8,081$38
Diagnostic exam of bladder and urethra using an endoscope23$6,606$174
New patient visit (45+ min)42$6,245$149
Initial hospital care with moderate level of medical decision making at least 75 minutes32$6,030$172
Simple bladder irrigation and/or instillation24$2,824$71
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle19$2,561$32
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$2,242$64
New patient visit (30+ min)22$2,006$91
Injection of drug or substance under skin or into muscle17$1,096$25
Injection, testosterone cypionate, 1 cc, 200 mg21$986None
Ultrasound measurement of bladder capacity after voiding31$662$18

2013: 17 services

Original Medicare services billed in 2013
Short return visit (20+ min)336$31,249$60
Leuprolide acetate (for depot suspension), 7.5 mg22$22,261None
Short return visit69$12,104$40
New patient visit (30+ min)109$9,055$83
Diagnostic exam of bladder and urethra using an endoscope28$8,538$190
Return visit (30+ min)61$6,908$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes40$4,882$119
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$4,567$63
Ultrasonic guidance for needle placement20$4,301$215
Biopsy of prostate gland19$3,808$200
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle22$3,221$33
Simple bladder irrigation and/or instillation22$2,620$75
Ultrasound scan of pelvic region through rectum20$1,438$72
Insertion of stent in ureter using an endoscope12$949$73
Injection, testosterone cypionate, 1 cc, 200 mg19$919None
Ultrasound measurement of bladder capacity after voiding32$675$18
Injection of drug or substance under skin or into muscle11$183$13

Money from drug and device companies

$137 in 2022

Industry payments by year
202227None$137
202137None$162
202011None$18
201936None$103

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
Astellas Pharma USXtandi$125
6 payments
  • Education · 2022-11-30 · $85
  • Meals for Xtandi · 2022-08-03 · $12
  • Meals for Xtandi · 2022-08-03 · $1
  • Meals for Xtandi · 2022-06-27 · $9
  • Meals for Xtandi · 2022-05-31 · $10
  • Meals for Xtandi · 2022-03-15 · $8
Janssen BiotechErleada$12
1 payment
  • Meals for Erleada · 2022-03-02 · $12
See all 7 published payments
Every published payment
Astellas Pharma USEducation · 2022-11-30None$85
Astellas Pharma USMeals · 2022-08-03Xtandi$12
Astellas Pharma USMeals · 2022-08-03Xtandi$1
Astellas Pharma USMeals · 2022-06-27Xtandi$9
Astellas Pharma USMeals · 2022-05-31Xtandi$10
Astellas Pharma USMeals · 2022-03-15Xtandi$8
Janssen BiotechMeals · 2022-03-02Erleada$12
See earlier years (2021, 2020, 2019)

2021: $162

Payments by company in 2021
AbbVieLupron Depot$77
3 payments
  • Meals for Lupron Depot · 2021-06-29 · $26
  • Meals for Lupron Depot · 2021-05-24 · $26
  • Meals for Lupron Depot · 2021-02-16 · $25
PfizerEliquis$45
2 payments
  • Meals for Eliquis · 2021-11-16 · $28
  • Meals for Eliquis · 2021-10-27 · $17
Astellas Pharma USXtandi$40
2 payments
  • Meals for Xtandi · 2021-11-09 · $20
  • Meals for Xtandi · 2021-06-09 · $20

2020: $18

Payments by company in 2020
AbbVieLupron Depot$18
1 payment
  • Meals for Lupron Depot · 2020-07-18 · $18

2019: $103

Payments by company in 2019
PfizerEliquis$69
4 payments
  • Meals for Eliquis · 2019-12-18 · $19
  • Meals for Eliquis · 2019-06-18 · $17
  • Meals for Eliquis · 2019-05-08 · $18
  • Meals for Eliquis · 2019-04-02 · $16
Astellas Pharma USXtandi$21
1 payment
  • Meals for Xtandi · 2019-11-05 · $21
AllerganLinzess$13
1 payment
  • Meals for Linzess · 2019-08-05 · $13

Professional record

NPI
1447244785
Licence
CA G25099California G25099: Current · expires 2029-02-28
More record details
Sole proprietor
Yes
Taxonomy
Urology (208800000X)
Mailing address
16450 Matilija Dr, Los Gatos, CA, 95030
NPI first listed
2005-09-01
NPI last updated
2023-10-24
NPI record certified
2023-10-24

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