Medicare Enrolled

Dr. Alejandro Miranda-Sousa, M.D.

Urology Physician · Fort Myers, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
4571 COLONIAL BLVD STE 110, Fort Myers, FL 33966
2392262727
In practice since 2006 (19 years)
NPI: 1639283534 verify on NPPES ↗
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. Miranda-Sousa 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. Miranda-Sousa

Dr. Alejandro Miranda-Sousa is an urology physician in Fort Myers, FL, with 19 years in practice. Based on federal Medicare data, Dr. Miranda-Sousa performed 13,747 Medicare services across 7,634 unique beneficiaries.

Between the years covered by Open Payments, Dr. Miranda-Sousa received a total of $8,433 from 46 pharmaceutical and/or device companies across 351 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. Miranda-Sousa is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 9% volume in FL$ $8,433 industry payments

Medicare Practice Summary

Medicare Utilization ↗
13,747
Medicare services
Top 9% in FL for urology physician
7,634
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~724 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.

ProcedureVolumeAvg. paidAvg. submitted
BCG treatment for bladder cancer3,160$2$6
Automated urinalysis2,525$2$4
Bladder ultrasound after voiding1,673$8$30
Office visit, established patient (30-39 min)1,315$93$264
Diagnostic exam of bladder and urethra using an endoscope625$185$499
Urine culture, bacterial colony count551$8$16
New patient office visit (45-59 min)403$122$347
Blood draw (venipuncture)389$8$17
Office visit, established patient (20-29 min)383$70$187
PSA test (prostate cancer screening)358$18$37
Bacterial culture, aerobic206$8$16
Antibiotic sensitivity test206$8$17
New patient office visit (30-44 min)172$83$235
Ceftriaxone antibiotic injection150$0$1
Leuprolide acetate (for depot suspension), 7.5 mg136$130$351
Ultrasound scan of pelvic region through rectum110$108$279
Drug injection, under skin or into muscle87$11$30
Biopsy of prostate gland79$193$505
Urinalysis with microscopic exam74$3$6
Biofeedback training for bowel or bladder control, initial 15 minutes71$61$165
Instillation of anti-cancer drug into bladder67$69$184
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings65$29$265
Injection, garamycin, gentamicin, up to 80 mg63$2$5
Urine culture, bacterial identification62$8$16
Electronic assessment of bladder emptying61$6$30
Complex measurement of pressure of urine flow in bladder with voiding pressure studies59$286$752
Insertion of device into abdomen with pressure and urine flow rate study55$152$396
Hospital follow-up visit, low complexity51$41$105
Dilation of urethra using an endoscope46$257$682
Injection of biodegradable material next to prostate44$2,317$5,911
Placement of device in prostate for radiation therapy44$62$317
Basic metabolic blood panel43$8$17
Office visit, established patient, complex (40-54 min)41$145$371
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle38$26$70
Urinalysis using microscope36$3$6
Biofeedback training for bowel or bladder control, each additional 15 minutes32$26$67
Shock wave crushing of kidney stones29$445$1,554
Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm29$632$1,620
Tissue marker, implantable, any type, each27$30$180
Complete blood count (CBC) with differential25$8$16
Hospital follow-up visit, moderate complexity25$65$165
Insertion of temporary bladder tube22$37$94
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope21$249$666
Insertion of stent in ureter using an endoscope20$77$835
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes20$69$177
Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm17$232$606
Imaging of urinary tract following injection of a contrast agent17$20$50
Biopsy of bladder using an endoscope15$90$785
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.
0.3% high complexity
16.9% medium
82.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$8,433
Total received (2018-2024)
Avg $1,205/year across 7 years
Top 24% in FL for urology physician
46
Companies
351
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
$8,179 (97.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$254 (3.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,045
2023
$1,027
2022
$1,792
2021
$972
2020
$600
2019
$1,330
2018
$1,667

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
PROCEPT BioRobotics Corporation
$1,160
Astellas Pharma US Inc
$1,070
Janssen Biotech, Inc.
$813
PFIZER INC.
$775
Blue Earth Diagnostics Limited
$713
Endo Pharmaceuticals Inc.
$432
Boston Scientific Corporation
$372
Myriad Genetic Laboratories, Inc.
$324
TOLMAR Pharmaceuticals, Inc.
$197
Coloplast Corp
$190
Wilmington Medical Supply, Inc.
$168
Sumitomo Pharma America, Inc.
$166
Olympus America Inc.
$147
Axonics, Inc.
$144
DENTSPLY IH Inc.
$138
Tolmar, Inc.
$118
ROCHESTER MEDICAL CORPORATION
$113
Antares Pharma, Inc.
$104
Allergan Inc.
$103
Janssen Scientific Affairs, LLC
$96
SRS Medical Systems, Inc.
$91
COLOPLAST CORP
$83
PROGENICS PHARMACEUTICALS, INC.
$82
Allergan, Inc.
$79
Ferring Pharmaceuticals Inc.
$76
Janssen Products, LP
$75
Laborie Medical Technologies Corp.
$59
ABBVIE INC.
$58
Teleflex LLC
$58
UROVANT SCIENCES INC
$48
Supernus Pharmaceuticals, Inc.
$45
Amgen Inc.
$41
BOSTON SCIENTIFIC CORPORATION
$40
ConvaTec Inc.
$39
Avadel Specialty Pharmaceuticals, LLC
$31
Dendreon Pharmaceuticals LLC
$31
Merck Sharp & Dohme LLC
$22
NeoTract Inc.
$21
TherapeuticsMD, Inc.
$19
IMMUNITYBIO, INC.
$17
DENTSPLY IH AB
$14
180 Medical, Inc.
$14
Verity Pharmaceuticals Inc.
$13
GENZYME CORPORATION
$13
Mission Pharmacal Company
$12
AbbVie, Inc.
$11
Top 3 companies account for 36.1% of total payments
Associated products mentioned in payments ›
ADSTILADRIN · ANKTIVA · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · Androgel · Axonics · Axumin · BOTOX · BOTOX - UROLOGY · BOTOX THERAPEUTIC · CONTINENCE CARE · CT3000 Pro Base Unit · EDEX · ELIGARD · ERLEADA · Erleada · FIRMAGON · GEMTESA · GENERAL BPH · GENERAL BPH · GENTLECATH · GENTLECATH GLIDE · IMVEXXY · JEVTANA · LYNPARZA · LoFric · MYRBETRIQ · Myrbetriq · NOCDURNA · Noctiva · Optilume BPH Drug Coated Balloon Catheter · Otrexup · POSLUMA · PREMARIN · PREVNAR - 13 · PROLARIS · PROVENGE · PVC · PYLARIFY · Prolaris · Prolia · RED RUBBER · RETRACE · SELF-CATH · SPACEOAR VUE · SPEEDICATH · SpaceOAR System · SpaceOAR VUE System - 10mL · SpeediCath · TOVIAZ · Trelstar · UROLIFT · Uribel · UroLift · UroLift System · VESICARE · XGEVA · XIAFLEX · XTANDI · XYOSTED · 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.

Equivalent to $61 per 100 Medicare services performed
Looking for a urology physician in Fort Myers?
Compare urology physicians in the Fort Myers area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology Physicians within 10 mi
49
Per 100K population
6.2
County median income
$73,099
Nearest hospital
GULF COAST MEDICAL CENTER LEE HEALTH
3.3 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Miranda-Sousa is a clinical cardiology specialist, with above-average Medicare volume (top 9% in FL), and low-engagement industry engagement, with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Miranda-Sousa experienced with bcg treatment for bladder cancer?
Based on Medicare claims data, Dr. Miranda-Sousa performed 3,160 bcg treatment for bladder cancer 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. Miranda-Sousa receive payments from pharmaceutical companies?
Yes. Dr. Miranda-Sousa received a total of $8,433 from 46 companies across 351 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. Miranda-Sousa's costs compare to other urology physicians in Fort Myers?
Dr. Miranda-Sousa's average Medicare payment per service is $46. 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. Miranda-Sousa) 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 →
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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →