Medicare Enrolled
Dr. Leonard Renfer, MD
Urology Physician · Salinas, 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. Renfer 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. Renfer
Dr. Leonard Renfer is an urology physician in Salinas, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Renfer performed 11,991 Medicare services across 3,123 unique beneficiaries.
Between the years covered by Open Payments, Dr. Renfer received a total of $3,859 from 45 pharmaceutical and/or device companies across 158 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. Renfer 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 11% volume in CA
$3,859 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,991
Medicare services
Top 11% in CA for urology physician
3,123
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~631 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 |
|---|---|---|---|
| Heparin sodium injection, per 1000 units An injection of heparin sodium, a blood thinner, administered in units of 1000. |
7,081 | $0 | $0 |
| 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. |
1,507 | $92 | $250 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
807 | $63 | $223 |
| 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. |
475 | $2 | $22 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
462 | $8 | $49 |
| 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. |
303 | $121 | $382 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 218 | $132 | $502 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
201 | $201 | $540 |
| 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. |
169 | $50 | $168 |
| 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. |
148 | $58 | $167 |
| 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. |
113 | $0 | $16 |
| Bladder instillation of anti-cancer drug A procedure where an anti-cancer medication is introduced directly into the bladder. This method delivers the treatment locally to the bladder tissue. |
86 | $76 | $294 |
| 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. |
85 | $10 | $55 |
| Simple change of bladder tube | 62 | $79 | $290 |
| Fitting and insertion of vaginal support device A procedure to measure, fit, and insert a device designed to support vaginal structures. |
61 | $48 | $186 |
| 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. |
60 | $76 | $247 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
51 | $41 | $96 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
30 | $107 | $323 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
25 | $201 | $593 |
| 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. |
20 | $586 | $2,104 |
| 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. |
16 | $111 | $1,269 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
11 | $68 | $237 |
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
64.8% medium
35.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$3,859
Total received (2018-2024)
Avg $551/year across 7 years
Top 40% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
158
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
$3,754 (97.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$105 (2.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,394
2023
$664
2022
$501
2021
$121
2020
$167
2019
$493
2018
$520
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Dendreon Pharmaceuticals LLC
$423
Boston Scientific Corporation
$138
PFIZER INC.
$105
PROCEPT BioRobotics Corporation
$104
Ambu Inc.
$96
ACCORD HEALTHCARE, INC.
$63
Janssen Biotech, Inc.
$63
Verity Pharmaceuticals Inc.
$45
Becton, Dickinson and Company
$44
Astellas Pharma US Inc
$36
Bayer Healthcare Pharmaceuticals Inc.
$34
DENTSPLY IH AB
$32
ABBVIE INC.
$31
ConvaTec Inc.
$30
Myriad Genetic Laboratories, Inc.
$26
Endo USA, Inc.
$24
Olympus America Inc.
$24
Axonics, Inc.
$21
Telix Pharmaceuticals
$21
Tolmar, Inc.
$21
COLOPLAST CORP
$14
Top 3 companies account for 47.7% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$544
Dendreon Pharmaceuticals LLC
$441
Boston Scientific Corporation
$391
Janssen Biotech, Inc.
$239
PFIZER INC.
$216
Allergan Inc.
$144
Bayer HealthCare Pharmaceuticals Inc.
$113
Augmenix, Inc.
$110
PROCEPT BioRobotics Corporation
$104
Ferring Pharmaceuticals Inc.
$96
Ambu Inc.
$96
ABBVIE INC.
$94
UROVANT SCIENCES INC
$80
AstraZeneca Pharmaceuticals LP
$78
ACCORD HEALTHCARE, INC.
$77
Coloplast Corp
$63
C. R. Bard, Inc. & Subsidiaries
$60
C. R. BARD, INC. & SUBSIDIARIES
$60
Rochester Medical Corporation
$57
TOLMAR Pharmaceuticals, Inc.
$54
Bayer Healthcare Pharmaceuticals Inc.
$52
Myriad Genetic Laboratories, Inc.
$45
Verity Pharmaceuticals Inc.
$45
UroGen Pharma, Inc.
$45
Becton, Dickinson and Company
$44
Teleflex LLC
$43
AbbVie, Inc.
$39
AngioDynamics, Inc.
$39
DENTSPLY IH AB
$32
MEDIVATION FIELD SOLUTIONS LLC
$32
ConvaTec Inc.
$30
Allergan, Inc.
$28
Progenics Pharmaceuticals, Inc.
$25
AbbVie Inc.
$24
Accord Healthcare, Inc.
$24
Endo USA, Inc.
$24
Olympus America Inc.
$24
Axonics, Inc.
$21
Telix Pharmaceuticals
$21
Tolmar, Inc.
$21
Amgen Inc.
$19
Sumitomo Pharma America, Inc.
$17
PALETTE LIFE SCIENCES, INC.
$17
Myovant Sciences Inc.
$14
COLOPLAST CORP
$14
Top 3 companies account for 35.7% of all-time payments
Associated products mentioned in payments ›
AQUABEAM SYSTEM · AVEED · AVYCAZ · Altis · Androgel · Aris · Axonics · BOTOX · BOTOX - UROLOGY · BOTOX THERAPEUTIC · Bard Urinary Drainage Bag · CAMCEVI · CLENPIQ · Coloplast TFL Drive · ELIGARD · ERLEADA · Erleada · FIRMAGON · GEMTESA · GENERAL - FEMALE SUI · GENTLECATH GLIDE · ILLUCCIX · JATENZO · JELMYTO · LITHOVUE · LOFRIC · LUPRON DEPOT · LYNPARZA · LithoVue · Lupron · MYRBETRIQ · MYRISK · Myrbetriq · NANOKNIFE · NanoKnife · Nubeqa · ORGOVYX · PROVENGE · PYLARIFY · Porges Coloplast · Prolaris · Prolia · REZUM · SPACEOAR · SpaceOAR · TOVIAZ · Trelstar · UROLIFT · XTANDI · XYNTHA · Xtandi · ZYTIGA · 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
17
Per 100K population
3.9
County median income
$94,486
Nearest hospital
SALINAS VALLEY MEMORIAL HOSPITAL
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. Renfer is a clinical cardiology specialist, with above-average Medicare volume (top 11% in CA), with low-engagement industry engagement, 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. Renfer experienced with heparin sodium injection, per 1000 units?
Based on Medicare claims data, Dr. Renfer performed 7,081 heparin sodium injection, per 1000 units 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. Renfer receive payments from pharmaceutical companies?
Yes. Dr. Renfer received a total of $3,859 from 45 companies across 158 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. Renfer's costs compare to other urology physicians in Salinas?
Dr. Renfer's average Medicare payment per service is $30. 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. Renfer) 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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