Medicare Enrolled
Dr. Josh Randall, MD
Urology Physician · Laguna Hills, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Randall 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. Randall
Dr. Josh Randall is an urology physician in Laguna Hills, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Randall performed 32,716 Medicare services across 5,323 unique beneficiaries.
Between the years covered by Open Payments, Dr. Randall received a total of $13,832 from 50 pharmaceutical and/or device companies across 311 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Randall 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 6% volume in CA
$13,832 industry payments
Medicare Practice Summary
Medicare Utilization ↗32,716
Medicare services
Top 6% in CA for urology physician
5,323
Unique beneficiaries
$12
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,722 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 |
|---|---|---|---|
| Testosterone injection An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams. |
21,600 | $0 | $0 |
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
3,000 | $5 | $18 |
| 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. |
2,040 | $2 | $6 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
1,833 | $9 | $38 |
| 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. |
1,596 | $70 | $297 |
| 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. |
716 | $101 | $420 |
| 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. |
255 | $128 | $542 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
242 | $20 | $85 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
174 | $217 | $831 |
| 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. |
166 | $12 | $48 |
| Cell examination of specimen, concentration technique A laboratory test that uses a concentration technique to examine cells from a specimen. |
158 | $40 | $158 |
| 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. |
144 | $0 | $1 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 88 | $131 | $571 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
86 | $92 | $377 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
81 | $101 | $379 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
50 | $63 | $260 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
39 | $215 | $816 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
39 | $129 | $712 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
39 | $53 | $197 |
| 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. |
38 | $342 | $1,269 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
38 | $6 | $47 |
| 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. |
38 | $29 | $214 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
38 | $182 | $676 |
| Prostate needle biopsy pathology exam Laboratory examination of prostate tissue samples obtained via needle biopsy. The pathologist inspects the tissue both visually and under a microscope to identify any abnormalities. |
38 | $168 | $665 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
35 | $144 | $557 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
31 | $26 | $117 |
| Cystoscopy with chemical ablation of bladder A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue. |
27 | $351 | $1,330 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
22 | $50 | $211 |
| Endoscopic removal of bladder or urethra growth, 2.0-5.0 cm This procedure uses an endoscope to destroy or remove a growth from the bladder or urethra that measures between 2.0 and 5.0 centimeters. |
14 | $234 | $895 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
14 | $90 | $489 |
| Laser vaporization of prostate A procedure that uses a laser to remove excess prostate tissue through an endoscope. The process includes controlling any bleeding that occurs during the treatment. |
13 | $590 | $2,201 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
13 | $21 | $92 |
| Transrectal ultrasound of prostate An ultrasound imaging procedure where a probe is inserted into the rectum to create pictures of the prostate gland. |
11 | $152 | $601 |
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.
0.1% high complexity
82.6% medium
17.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$13,832
Total received (2018-2024)
Avg $1,976/year across 7 years
Top 15% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
311
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$7,819 (56.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,012 (43.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$6,557
2023
$1,412
2022
$790
2021
$769
2020
$340
2019
$785
2018
$3,180
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
INTUITIVE SURGICAL, INC.
$5,315
ABBVIE INC.
$247
Medtronic, Inc.
$227
Sumitomo Pharma America, Inc.
$165
HISTOSONICS,INC.
$148
Boston Scientific Corporation
$123
Antares Pharma, Inc.
$80
PFIZER INC.
$44
Endo USA, Inc.
$24
ACCORD HEALTHCARE, INC.
$24
Telix Pharmaceuticals
$24
Merck Sharp & Dohme LLC
$21
Teleflex LLC
$21
UROGEN PHARMA, INC.
$21
Astellas Pharma US Inc
$20
Ferring Pharmaceuticals Inc.
$20
PROCEPT BioRobotics Corporation
$18
Janssen Biotech, Inc.
$15
Top 3 companies account for 88.3% of 2024 payments
All-time payments by company (2018-2024) ›
INTUITIVE SURGICAL, INC.
$5,315
AbbVie, Inc.
$2,341
Astellas Pharma US Inc
$845
Boston Scientific Corporation
$527
Axonics, Inc.
$467
ABBVIE INC.
$466
PFIZER INC.
$334
Sumitomo Pharma America, Inc.
$263
Antares Pharma, Inc.
$242
Medtronic, Inc.
$227
PROCEPT BioRobotics Corporation
$220
AngioDynamics, Inc.
$215
Endo Pharmaceuticals Inc.
$186
Myovant Sciences Inc.
$167
HISTOSONICS,INC.
$148
Teleflex LLC
$133
Dendreon Pharmaceuticals LLC
$126
E.R. Squibb & Sons, L.L.C.
$124
AKRIMAX PHARMACEUTICALS, LLC
$109
Merck Sharp & Dohme LLC
$103
Allergan Inc.
$98
Janssen Biotech, Inc.
$90
Olympus America Inc.
$77
NeoTract Inc.
$72
UROVANT SCIENCES INC
$69
Medtronic USA, Inc.
$59
Otsuka America Pharmaceutical, Inc.
$57
Tolmar, Inc.
$55
Acerus Pharmaceuticals Corporation
$54
Travere Therapeutics, Inc.
$52
Supernus Pharmaceuticals, Inc.
$49
UroGen Pharma, Inc.
$47
Kowa Pharmaceuticals America, Inc.
$47
Bayer HealthCare Pharmaceuticals Inc.
$45
Ferring Pharmaceuticals Inc.
$41
MEDIVATION FIELD SOLUTIONS LLC
$38
Allergan, Inc.
$33
PALETTE LIFE SCIENCES, INC.
$26
Rochester Medical Corporation
$26
Endo USA, Inc.
$24
ACCORD HEALTHCARE, INC.
$24
Telix Pharmaceuticals
$24
AbbVie Inc.
$23
Intuitive Surgical, Inc.
$22
ConvaTec Inc.
$22
C. R. BARD, INC. & SUBSIDIARIES
$21
UROGEN PHARMA, INC.
$21
Merck Sharp & Dohme Corporation
$20
BOSTON SCIENTIFIC CORPORATION
$20
Curium US LLC
$17
Top 3 companies account for 61.5% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ADSTILADRIN · ADVANCE · ALLODERM · AMS 700 · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AQUACEL AG · AVEED · Androgel · Axonics · Axonics r-SNM System · BOTOX · BOTOX THERAPEUTIC · CAMCEVI · DA VINCI SP · Da Vinci Surgical System · ELIGARD · ERLEADA · Erleada · GEMTESA · GENERAL ERECTILE DYSFUNCTION · GENERAL BPH · ILLUCCIX · INTERSTIM · JELMYTO · JYNARQUE · KEYTRUDA · LUPRON DEPOT · Lupron · Lupron Depot · MAGIC3 · MYRBETRIQ · Myrbetriq · NANOKNIFE · NOCDURNA · NanoKnife · Natesto · Nubeqa · OPDIVO · ORGOVYX · OTREXUP · Olympus Digital Flexible Ureteroscopes · Olympus Stents · PROVENGE · Rezum Generator · SPECTRA · Seglentis · Stendra · TLANDO · TOVIAZ · UROLIFT · UroLift · UroLift 2 System · UroLift ATC System · UroLift System · XIAFLEX · XTANDI · XYOSTED · Xtandi
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 →
The majority of payments (56%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urology physician and does not inherently indicate bias, but patients may wish to be aware.
Geographic Context
Urology physicians within 10 mi
140
Per 100K population
4.4
County median income
$113,702
Nearest hospital
MEMORIALCARE SADDLEBACK MEDICAL CENTER
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. Randall is a mixed practice specialist, with above-average Medicare volume (top 6% in CA), with speaking/promotional industry engagement in the top 15% 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. Randall experienced with testosterone injection?
Based on Medicare claims data, Dr. Randall performed 21,600 testosterone injection 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. Randall receive payments from pharmaceutical companies?
Yes. Dr. Randall received a total of $13,832 from 50 companies across 311 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. Randall's costs compare to other urology physicians in Laguna Hills?
Dr. Randall's average Medicare payment per service is $12. 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. Randall) 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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