Medicare Enrolled
Dr. Andrew Smith, M.D.
Urology Physician · Walnut Creek, 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. Smith 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. Smith
Dr. Andrew Smith is an urology physician in Walnut Creek, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 7,301 Medicare services across 2,184 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smith received a total of $5,675 from 49 pharmaceutical and/or device companies across 261 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. Smith 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.
✓ 18 years in practice
▲ Top 14% volume in CA
$5,675 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,301
Medicare services
Top 14% in CA for urology physician
2,184
Unique beneficiaries
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~406 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. |
3,000 | $5 | $15 |
| 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. |
921 | $78 | $325 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
870 | $84 | $324 |
| 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. |
520 | $116 | $460 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
338 | $11 | $195 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
328 | $3 | $12 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 171 | $133 | $715 |
| Hormone pellet insertion under the skin A small hormone pellet is placed just beneath the skin to release medication slowly over time. |
149 | $46 | $345 |
| Simple repair of small surface wound A minor surgical procedure to close a small cut or wound on the scalp, neck, trunk, arms, or legs that is 2.5 cm or less in length. |
146 | $93 | $449 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
142 | $11 | $260 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
139 | $236 | $750 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
138 | $115 | $480 |
| 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. |
125 | $137 | $585 |
| 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. |
111 | $92 | $397 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
42 | $52 | $282 |
| 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. |
29 | $36 | $118 |
| 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 | $400 | $895 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
26 | $58 | $400 |
| 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. |
20 | $147 | $635 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
19 | $242 | $755 |
| Insertion of temporary bladder tube | 14 | $38 | $164 |
| Injection to cause erection A procedure involving an injection administered to induce an erection. |
14 | $86 | $311 |
| Shock wave crushing of kidney stones A procedure that uses shock waves to break kidney stones into smaller pieces so they can pass more easily from the body. |
12 | $567 | $2,655 |
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.
0.4% high complexity
46.9% medium
52.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,675
Total received (2018-2024)
Avg $811/year across 7 years
Top 30% in CA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
261
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
$5,675 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,392
2023
$845
2022
$522
2021
$530
2020
$508
2019
$835
2018
$1,043
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
BLUEWIND MEDICAL
$511
ABBVIE INC.
$333
GlaxoSmithKline, LLC.
$163
Sumitomo Pharma America, Inc.
$54
Boston Scientific Corporation
$53
180 Medical, Inc.
$45
ACCORD HEALTHCARE, INC.
$34
VERTEX PHARMACEUTICALS INCORPORATED
$34
KARL STORZ Endoscopy-America
$33
Blue Earth Diagnostics Limited
$30
Ferring Pharmaceuticals Inc.
$24
Baxter Healthcare
$24
Laborie Medical Technologies Corp.
$23
Astellas Pharma US Inc
$15
Abbott Laboratories
$15
Top 3 companies account for 72.4% of 2024 payments
All-time payments by company (2018-2024) ›
BLUEWIND MEDICAL
$511
GlaxoSmithKline, LLC.
$460
AbbVie Inc.
$458
Astellas Pharma US Inc
$408
ABBVIE INC.
$403
180 Medical, Inc.
$352
Allergan Inc.
$324
Boston Scientific Corporation
$242
Allergan, Inc.
$226
Blue Earth Diagnostics Limited
$206
AbbVie, Inc.
$194
PROCEPT BioRobotics Corporation
$179
Endo Pharmaceuticals Inc.
$168
UROVANT SCIENCES INC
$146
Boehringer Ingelheim Pharmaceuticals, Inc.
$138
FEMSelect Inc.
$107
Dendreon Pharmaceuticals LLC
$87
Janssen Biotech, Inc.
$80
Sumitomo Pharma America, Inc.
$78
PFIZER INC.
$77
KARL STORZ Endoscopy-America
$60
NxThera, Inc.
$59
Olympus America Inc.
$58
C. R. BARD, INC. & SUBSIDIARIES
$52
Rochester Medical Corporation
$49
ACCORD HEALTHCARE, INC.
$47
Baxter Healthcare
$38
NeoTract Inc.
$36
VERTEX PHARMACEUTICALS INCORPORATED
$34
La Jolla Pharmaceutical Company
$31
Amgen Inc.
$30
Avadel Specialty Pharmaceuticals, LLC
$28
Augmenix, Inc.
$26
Ferring Pharmaceuticals Inc.
$24
Laborie Medical Technologies Corp.
$23
Coloplast Corp
$23
Antares Pharma, Inc.
$20
DENTSPLY IH Inc.
$20
PALETTE LIFE SCIENCES, INC.
$20
ROCHESTER MEDICAL CORPORATION
$20
AstraZeneca Pharmaceuticals LP
$19
Bioventus LLC
$18
BOSTON SCIENTIFIC CORPORATION
$17
TherapeuticsMD, Inc.
$15
Abbott Laboratories
$15
Photocure Inc
$14
Janssen Pharmaceuticals, Inc
$13
Advanced Respiratory, Inc
$12
AKRIMAX PHARMACEUTICALS, LLC
$11
Top 3 companies account for 25.2% of all-time payments
Associated products mentioned in payments ›
16 FR. FLEXIBLE VIDEO CYSTOSCOPE · ADSTILADRIN · ANORO · AVEED · Androgel · AquaBeam Robotic System · Axumin · BEVESPI AEROSPHERE · BOTOX · BOTOX THERAPEUTIC · BREO · CAMCEVI · CURE CATHETER · CURE ULTRA CATHETER · Cysview · ENPLACE · Eclipse · Erleada · Exogen · GEMTESA · GENERAL BPH · GENERAL ONCOLOGY · GENERAL KIDNEY STONE DISEASE · GENTLECATH · GENTLECATH GLIDE · GIAPREZA · General - BPH · Hillrom - Vest System Model 105 Home Care · IMVEXXY · INFINITY · LUPRON DEPOT · LoFric · Lupron · Lupron Depot · MAGIC3 · MYRBETRIQ · Magic 3 · Myrbetriq · Noctiva · OFEV · Otrexup · POSLUMA · PROVENGE · Prolia · QULIPTA · REVI · ROCHESTER MAGIC3 · Rezum · Rezum Generator · SOLYX BLUE · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · Saffron · ShockPulse - SE · Solyx SIS System · SpaceOAR · Stendra · TOVIAZ · TRELEGY ELLIPTA · The Vest System Model 105 Home Care · UroLift · VIBERZI · XARELTO · XIAFLEX · XTANDI · ZYTIGA · iTIND System · n.a.
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
124
Per 100K population
10.7
County median income
$125,727
Nearest hospital
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS
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. Smith is a clinical cardiology specialist, with above-average Medicare volume (top 14% in CA), with low-engagement industry engagement, with 18 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. Smith experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Smith performed 3,000 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. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $5,675 from 49 companies across 261 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. Smith's costs compare to other urology physicians in Walnut Creek?
Dr. Smith's average Medicare payment per service is $52. 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. Smith) 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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