Medicare Enrolled
Dr. Julie Chacko, MD
Urology Physician · Santa Barbara, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Chacko 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. Chacko
Dr. Julie Chacko is an urology physician in Santa Barbara, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Chacko performed 17,667 Medicare services across 3,862 unique beneficiaries.
Between the years covered by Open Payments, Dr. Chacko received a total of $11,505 from 75 pharmaceutical and/or device companies across 482 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. Chacko 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.
✓ 20 years in practice
▲ Top 8% volume in CA
$11,505 industry payments
Medicare Practice Summary
Medicare Utilization ↗17,667
Medicare services
Top 8% in CA for urology physician
3,862
Unique beneficiaries
$20
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~883 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 |
|---|---|---|---|
| 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. |
7,100 | $5 | $18 |
| Heparin sodium injection, per 1000 units An injection of heparin sodium, a blood thinner, administered in units of 1000. |
4,822 | $0 | $3 |
| 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. |
1,278 | $101 | $184 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
1,047 | $9 | $193 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
1,026 | $3 | $13 |
| 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. |
508 | $2 | $22 |
| 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. |
336 | $73 | $116 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
303 | $203 | $405 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
250 | $48 | $78 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
186 | $59 | $146 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
156 | $9 | $156 |
| Simple change of bladder tube | 132 | $84 | $198 |
| 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. |
87 | $132 | $238 |
| 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. |
79 | $12 | $34 |
| 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. |
65 | $346 | $779 |
| Injection, garamycin, gentamicin, up to 80 mg | 55 | $2 | $7 |
| Insertion of temporary bladder tube | 52 | $38 | $99 |
| 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. |
48 | $55 | $138 |
| 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. |
23 | $20 | $146 |
| 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. |
21 | $152 | $220 |
| Endoscopic removal of foreign body, stone, or stent from urethra or bladder A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item. |
20 | $282 | $650 |
| 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. |
20 | $112 | $800 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
20 | $125 | $248 |
| 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. |
18 | $101 | $226 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
15 | $366 | $764 |
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.
0.7% high complexity
74.4% medium
24.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$11,505
Total received (2018-2024)
Avg $1,644/year across 7 years
Top 18% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
75
Companies
482
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
$10,313 (89.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,192 (10.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,605
2023
$1,881
2022
$1,835
2021
$1,804
2020
$1,421
2019
$1,653
2018
$1,306
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$301
Sumitomo Pharma America, Inc.
$177
Ferring Pharmaceuticals Inc.
$162
Astellas Pharma US Inc
$158
Boston Scientific Corporation
$149
PROGENICS PHARMACEUTICALS, INC.
$87
180 Medical, Inc.
$80
Alnylam Pharmaceuticals Inc.
$77
COLOPLAST CORP
$77
Antares Pharma, Inc.
$52
Smith+Nephew, Inc.
$41
ACCORD HEALTHCARE, INC.
$35
Medtronic, Inc.
$34
PFIZER INC.
$26
Becton, Dickinson and Company
$26
C. R. Bard, Inc. & Subsidiaries
$25
IMMUNITYBIO, INC.
$24
Janssen Biotech, Inc.
$22
Photocure Inc
$17
CONMED Corporation
$17
AstraZeneca Pharmaceuticals LP
$16
Top 3 companies account for 39.9% of 2024 payments
All-time payments by company (2018-2024) ›
Coloplast Corp
$929
Astellas Pharma US Inc
$755
Boston Scientific Corporation
$619
Endo Pharmaceuticals Inc.
$603
ABBVIE INC.
$542
AbbVie Inc.
$454
COLOPLAST CORP
$408
Janssen Biotech, Inc.
$395
Myovant Sciences Inc.
$371
PFIZER INC.
$344
Ferring Pharmaceuticals Inc.
$334
Allergan, Inc.
$323
BIOTISSUE HOLDINGS, INC.
$321
EDAP TECHNOMED INC
$310
PROCEPT BioRobotics Corporation
$303
Blue Earth Diagnostics Limited
$268
AbbVie, Inc.
$254
Sumitomo Pharma America, Inc.
$247
Acerus Pharmaceuticals Corporation
$226
Photocure Inc
$201
Alnylam Pharmaceuticals Inc.
$194
Allergan Inc.
$183
Palette Life Sciences, Inc.
$175
Progenics Pharmaceuticals, Inc.
$150
Myriad Genetic Laboratories, Inc.
$150
180 Medical, Inc.
$135
ABC Home Medical Supply, Inc.
$130
TOLMAR Pharmaceuticals, Inc.
$130
Cook Medical LLC
$119
Olympus America Inc.
$106
AstraZeneca Pharmaceuticals LP
$100
UroGen Pharma, Inc.
$95
PROGENICS PHARMACEUTICALS, INC.
$87
Janssen Pharmaceuticals, Inc
$86
Antares Pharma, Inc.
$77
Dendreon Pharmaceuticals LLC
$72
Duchesnay USA Incorporated
$71
Smith+Nephew, Inc.
$71
Zyla Life Sciences
$69
Amgen Inc.
$62
Supernus Pharmaceuticals, Inc.
$62
Axonics, Inc.
$57
Laborie Medical Technologies Corp.
$51
UROGEN PHARMA, INC.
$45
Avadel Specialty Pharmaceuticals, LLC
$45
Augmenix, Inc.
$39
Teleflex LLC
$38
AMAG Pharmaceuticals, Inc.
$36
ACCORD HEALTHCARE, INC.
$35
Medtronic, Inc.
$34
Ethicon US, LLC
$34
TherapeuticsMD, Inc.
$34
Novartis Pharmaceuticals Corporation
$32
Mission Pharmacal Company
$32
MEDIVATION FIELD SOLUTIONS LLC
$31
Hollister Incorporated
$29
Ambu Inc.
$29
Becton, Dickinson and Company
$26
Medtronic USA, Inc.
$26
C. R. Bard, Inc. & Subsidiaries
$25
UROVANT SCIENCES INC
$25
IMMUNITYBIO, INC.
$24
Innovation Technologies Inc
$23
Travere Therapeutics, Inc.
$22
Sagent Pharmaceuticals, Inc.
$22
Merck Sharp & Dohme Corporation
$22
Merck Sharp & Dohme LLC
$21
Metuchen Pharmaceuticals
$18
BARD PERIPHERAL VASCULAR, INC.
$18
GlaxoSmithKline, LLC.
$18
NeoTract Inc.
$17
Rochester Medical Corporation
$17
CONMED Corporation
$17
IsoRay, Inc
$17
DENTSPLY IH Inc.
$15
Top 3 companies account for 20.0% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ADSTILADRIN · ALTIS · ANKTIVA · AQUABEAM ROBOTIC SYSTEM · AVEED · AXIS · Altis · Androgel · AquaBeam Robotic System · Aris · Axonics · Axumin · BOTOX · BOTOX - UROLOGY · BOTOX THERAPEUTIC · Bard Urinary Drainage Bag · Brachytherapy Source · Bulkamid · CAMCEVI · CONMED SPECIMEN RETRIEVAL · CONTINENCE CARE · COOK MEDICAL UROLOGY · CYSVIEW · Cook Medical Urology · Cysview · DURASPHERE · ECHELON ENDOPATH Stapler · ELIGARD · ERLEADA · Erleada · FIRMAGON · Flexible Cystoscopes Digital · GEMTESA · GENERAL THERAPIES · Glydo · IMVEXXY · INTERSTIM · INTRAROSA · Irrisept · JELMYTO · KEYTRUDA · LIGASURE · LITHOVUE · LUPRON DEPOT · LYNPARZA · LoFric · Lupron · Lupron Depot · MAGIC3 · MYRBETRIQ · Myrbetriq · NEOX · NOCDURNA · Natesto · Noctiva · ORGOVYX · OXLUMO · Olympus Cysto-Resection · Olympus Ureteroscopes · Osphena · PELVIC FLOOR REPAIR · PLUVICTO · POSLUMA · PREMARIN · PROVENGE · PVC · PYLARIFY · Peristeen · Porges Coloplast · Prolaris · Prolia · REZUM · SPEEDICATH · SPRIX · STRAVIX · SURGICEL Family of Absorbable Hemostats · Saffron · SpaceOAR · SpaceOAR VUE System - 10mL · SpeediCath · Stendra · TITAN · TOVIAZ · TRELEGY ELLIPTA · Titan · UPHOLD LITE · UPSYLON · Uribel · UroLift · UroLift System · VaPro Pocket · XENFORM · XIAFLEX · XTANDI · XYOSTED · Xtandi · 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 (90%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
13
Per 100K population
2.9
County median income
$95,977
Nearest hospital
SANTA BARBARA COTTAGE 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. Chacko is a mixed practice specialist, with above-average Medicare volume (top 8% in CA), with low-engagement industry engagement in the top 18% of CA peers, with 20 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. Chacko experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Chacko performed 7,100 botox injection, per unit 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. Chacko receive payments from pharmaceutical companies?
Yes. Dr. Chacko received a total of $11,505 from 75 companies across 482 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. Chacko's costs compare to other urology physicians in Santa Barbara?
Dr. Chacko's average Medicare payment per service is $20. 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. Chacko) 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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