Medicare Enrolled
Dr. Philip Butler, M.D.
Urology Physician · La Jolla, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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 Dr. Butler 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 Dr. Butler
Dr. Philip Butler is an urology physician in La Jolla, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Butler performed 3,599 Medicare services across 2,002 unique beneficiaries.
Between the years covered by Open Payments, Dr. Butler received a total of $10,223 from 63 pharmaceutical and/or device companies across 365 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Butler 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.
✓ 19 years in practice
▲ Top 24% volume in CA
$10,223 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,599
Medicare services
Top 24% in CA for urology physician
2,002
Unique beneficiaries
$94
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~189 Medicare services per year of practice
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 |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
974 | $50 | $300 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
731 | $2 | $9 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
555 | $98 | $601 |
| 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. |
243 | $75 | $440 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
130 | $10 | $60 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
123 | $201 | $1,230 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
119 | $127 | $780 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
99 | $116 | $730 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
77 | $104 | $605 |
| Additional urethral implant in prostate Placement of an additional implant into the urethra within the prostate gland using an endoscope. |
72 | $810 | $4,695 |
| Urethral dilation using endoscope A procedure to widen the urethra using a thin, lighted tube called an endoscope. This helps to open a narrowed urethral passage. |
71 | $274 | $1,630 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
57 | $0 | $2 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
56 | $60 | $340 |
| 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. |
36 | $12 | $80 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
35 | $144 | $840 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
26 | $9 | $57 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
25 | $20 | $120 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
24 | $87 | $540 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
23 | $40 | $240 |
| Endoscopic destruction of bladder, urethra, or gland tissue A procedure that uses an endoscope to destroy tissue in the bladder, urethra, or surrounding glands. |
20 | $655 | $3,910 |
| Urethral implant insertion in prostate A single implant is placed into the urethra within the prostate gland using an endoscope. |
17 | $1,167 | $6,730 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
16 | $114 | $640 |
| Waterjet prostate destruction via urethra A procedure that uses a high-pressure water jet to destroy prostate tissue, accessed through the urethra. |
15 | $598 | $8,100 |
| Transurethral prostate removal with electrocautery This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding. |
15 | $596 | $3,205 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
14 | $28 | $199 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
13 | $317 | $1,450 |
| Laser prostate fragmentation with bleeding control This procedure uses a laser to break up prostate tissue and control bleeding through an endoscope. |
13 | $641 | $3,655 |
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. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$10,223
Total received (2018-2024)
Avg $1,460/year across 7 years
Top 20% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
63
Companies
365
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,877 (96.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$346 (3.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$529
2023
$1,218
2022
$2,153
2021
$1,432
2020
$853
2019
$2,776
2018
$1,262
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Valencia Technologies Corporation
$152
PROCEPT BioRobotics Corporation
$150
ABBVIE INC.
$43
Myriad Genetic Laboratories, Inc.
$28
AstraZeneca Pharmaceuticals LP
$27
PROGENICS PHARMACEUTICALS, INC.
$24
Teleflex LLC
$24
Endo Pharmaceuticals Inc.
$23
Olympus America Inc.
$23
PFIZER INC.
$20
Medtronic, Inc.
$16
Top 3 companies account for 65.1% of 2024 payments
All-time payments by company (2018-2024) ›
NeoTract Inc.
$1,816
Teleflex LLC
$1,070
Endo Pharmaceuticals Inc.
$794
PROCEPT BioRobotics Corporation
$494
Astellas Pharma US Inc
$353
Axonics, Inc.
$307
Allergan, Inc.
$301
Rochester Medical Corporation
$273
AbbVie Inc.
$265
Coloplast Corp
$250
Janssen Biotech, Inc.
$240
PFIZER INC.
$236
COLOPLAST CORP
$222
ABBVIE INC.
$205
Ferring Pharmaceuticals Inc.
$205
Myriad Genetic Laboratories, Inc.
$203
Allergan Inc.
$202
AbbVie, Inc.
$200
Verity Pharmaceuticals Inc.
$168
Bayer HealthCare Pharmaceuticals Inc.
$153
Valencia Technologies Corporation
$152
Palette Life Sciences, Inc.
$142
Medtronic, Inc.
$136
Avadel Specialty Pharmaceuticals, LLC
$131
Myovant Sciences Inc.
$121
GENZYME CORPORATION
$118
180 Medical, Inc.
$116
Blue Earth Diagnostics Limited
$116
Amgen Inc.
$108
Dendreon Pharmaceuticals LLC
$90
UroGen Pharma, Inc.
$73
Zyla Life Sciences
$56
TherapeuticsMD, Inc.
$51
Duchesnay USA Incorporated
$51
Travere Therapeutics, Inc.
$49
AstraZeneca Pharmaceuticals LP
$46
ACCORD HEALTHCARE, INC.
$45
ConvaTec Inc.
$43
Bard Access Systems, Inc.
$43
UROVANT SCIENCES INC
$39
DENTSPLY IH Inc.
$38
Olympus America Inc.
$38
Retrophin, Inc.
$37
Antares Pharma, Inc.
$33
Aroa Biosurgery Incorporated
$30
AngioDynamics, Inc.
$28
Axonics Modulation Technologies, Inc.
$27
Progenics Pharmaceuticals, Inc.
$27
TOLMAR Pharmaceuticals, Inc.
$25
Supernus Pharmaceuticals, Inc.
$25
PROGENICS PHARMACEUTICALS, INC.
$24
Aytu BioScience, Inc
$24
Boston Scientific Corporation
$24
Merck Sharp & Dohme LLC
$22
Richard Wolf Medical Instruments Corp.
$20
ABC Home Medical Supply, Inc.
$20
Sumitomo Pharma America, Inc.
$18
Acerus Pharmaceuticals Corporation
$17
Mission Pharmacal Company
$15
C. R. Bard, Inc. & Subsidiaries
$13
MEDIVATION FIELD SOLUTIONS LLC
$13
NxThera, Inc.
$10
Aziyo Biologics, Inc.
$10
Top 3 companies account for 36.0% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · AVYCAZ · Androgel · AquaBeam Robotic System · Axonics · Axonics r-SNM System · Axumin · BOTOX · Bard Urinary Drainage Bag · CAMCEVI · CONTINENCE CARE · ECM Patch · EDEX · ELIGARD · ERLEADA · FIRMAGON · GEMTESA · GENTLECATH · GENTLECATH GLIDE · IMVEXXY · INTERSTIM · JELMYTO · JEVTANA · KEYTRUDA · LUPRON DEPOT · LYNPARZA · LoFric · Lupron · Lupron Depot · MAGIC3 · MYRBETRIQ · Myrbetriq · NANOKNIFE · NOCDURNA · Natesto · Noctiva · Nubeqa · ORGOVYX · Olympus Cysto-Resection · Osphena · PREMARIN · PROLARIS · PROVENGE · PYLARIFY · Pouch · Prolaris · Prolia · ROCHESTER MAGIC3 · Rezum · Rezum Generator · SPEEDICATH · SPRIX · SpeediCath · TLANDO · TOVIAZ · Thiola · Trelstar · UROLIFT · UroLift · UroLift System · Urocit-K · XGEVA · XIAFLEX · XTANDI · XYOSTED · eCoin Device Kit · iTIND System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
137
Per 100K population
4.2
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | 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
Dr. Butler is a clinical cardiology specialist, with above-average Medicare volume (top 24% in CA), with low-engagement industry engagement in the top 20% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Butler experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Butler performed 974 chronic care management, first 20 min/month services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Butler receive payments from pharmaceutical companies?
Yes. Dr. Butler received a total of $10,223 from 63 companies across 365 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Butler's costs compare to other urology physicians in La Jolla?
Dr. Butler's average Medicare payment per service is $94. 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 Dr. Butler) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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.
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