Medicare Enrolled
Dr. Alejandro Miranda-Sousa, M.D.
Urology Physician · Fort Myers, FL
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. 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 of NPI registration. 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
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 111307 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| BCG treatment for bladder cancer | 3,160 | $2 | $6 |
| 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. |
2,525 | $2 | $4 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
1,673 | $8 | $30 |
| 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. |
1,315 | $93 | $264 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
625 | $185 | $499 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
551 | $8 | $16 |
| 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. |
403 | $122 | $347 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
389 | $8 | $17 |
| 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. |
383 | $70 | $187 |
| PSA test (prostate cancer screening) | 358 | $18 | $37 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
206 | $8 | $16 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
206 | $8 | $17 |
| 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. |
172 | $83 | $235 |
| 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. |
150 | $0 | $1 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 136 | $130 | $351 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
110 | $108 | $279 |
| 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. |
87 | $11 | $30 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
79 | $193 | $505 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
74 | $3 | $6 |
| Biofeedback training for bowel or bladder control, initial 15 minutes A 15-minute session using biofeedback techniques to help patients gain control over bowel or bladder functions. The training involves monitoring physiological processes to learn how to manage muscle activity. |
71 | $61 | $165 |
| 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. |
67 | $69 | $184 |
| 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. |
65 | $29 | $265 |
| Injection, garamycin, gentamicin, up to 80 mg | 63 | $2 | $5 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
62 | $8 | $16 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
61 | $6 | $30 |
| 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. |
59 | $286 | $752 |
| 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. |
55 | $152 | $396 |
| 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 | $105 |
| Urethral dilation using endoscope A procedure to widen the urethra using a thin, lighted tube called an endoscope. This helps to open a narrowed urethral passage. |
46 | $257 | $682 |
| Injection of biodegradable material next to prostate A procedure involving the injection of a biodegradable substance into the tissue surrounding the prostate gland. |
44 | $2,317 | $5,911 |
| Prostate radiation therapy device placement A device is placed in the prostate to facilitate radiation therapy. This procedure involves positioning the device to aid in the delivery of radiation treatment. |
44 | $62 | $317 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
43 | $8 | $17 |
| 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. |
41 | $145 | $371 |
| 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. |
38 | $26 | $70 |
| Urinalysis, microscopic examination A laboratory test that examines a urine sample under a microscope to check for cells, crystals, bacteria, or other substances. |
36 | $3 | $6 |
| Biofeedback training for bowel or bladder control, each additional 15 minutes This procedure involves additional 15-minute sessions of biofeedback training to help improve control over bowel or bladder functions. |
32 | $26 | $67 |
| 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. |
29 | $445 | $1,554 |
| Endoscopic destruction of bladder/urethra growth, less than 0.5 cm A procedure to remove abnormal tissue growths from the bladder or urethra using an endoscope. This specific code applies when the growths are smaller than 0.5 centimeters. |
29 | $632 | $1,620 |
| Implantable tissue marker, each A small marker is implanted into tissue to serve as a reference point for future medical imaging or procedures. |
27 | $30 | $180 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
25 | $8 | $16 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
25 | $65 | $165 |
| Insertion of temporary bladder tube | 22 | $37 | $94 |
| 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. |
21 | $249 | $666 |
| 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 | $77 | $835 |
| 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. |
20 | $69 | $177 |
| 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. |
17 | $232 | $606 |
| 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. |
17 | $20 | $50 |
| Bladder biopsy using endoscope A procedure to remove a small tissue sample from the bladder using a thin, flexible tube with a camera. The sample is then examined to check for abnormalities. |
15 | $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
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
3.3 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 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), with low-engagement industry engagement, with 19 years of NPI registration.
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 →
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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. 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.
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