Medicare Enrolled
Dr. Joshua Perkel, M.D.
Urology Physician · Macon, GA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Mixed 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. Perkel 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 →
Are you Dr. Perkel?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Perkel
Dr. Joshua Perkel is an urology physician in Macon, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Perkel performed 5,322 Medicare services across 1,738 unique beneficiaries.
Between the years covered by Open Payments, Dr. Perkel received a total of $37,860 from 63 pharmaceutical and/or device companies across 603 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. Perkel 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 19% volume in GA
$37,860 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,322
Medicare services
Top 19% in GA for urology physician
1,738
Unique beneficiaries
$25
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~280 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
3,025 | $0 | $5 |
| 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. |
424 | $2 | $8 |
| 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. |
395 | $81 | $171 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 295 | $132 | $1,078 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
124 | $7 | $28 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
107 | $3 | $12 |
| 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. |
88 | $115 | $245 |
| 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. |
77 | $24 | $99 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
71 | $47 | $172 |
| Abdominal X-ray, 2 views An X-ray imaging test of the abdomen using two different angles to visualize internal structures. |
62 | $16 | $50 |
| 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. |
62 | $125 | $224 |
| 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. |
50 | $17 | $232 |
| 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. |
47 | $41 | $136 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
45 | $23 | $51 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
45 | $10 | $28 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
44 | $83 | $365 |
| 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. |
40 | $52 | $120 |
| 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. |
35 | $10 | $39 |
| Ureteral stent insertion via cystoscopy A tube is placed into the ureter using an endoscope inserted through the bladder. |
31 | $84 | $448 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
31 | $164 | $474 |
| Insertion of temporary bladder tube | 30 | $31 | $75 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
28 | $45 | $299 |
| 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. |
26 | $90 | $835 |
| Simple change of bladder tube | 24 | $65 | $142 |
| New patient office visit, complex (60-74 min) | 18 | $157 | $333 |
| 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. |
16 | $193 | $727 |
| 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. |
16 | $49 | $137 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
15 | $65 | $266 |
| Bladder/urethra growth removal via endoscope, 0.5-2.0 cm This procedure uses an endoscope to destroy or remove a growth from the bladder or urethra that measures between 0.5 and 2.0 centimeters. |
14 | $170 | $508 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
13 | $124 | $335 |
| 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. |
12 | $114 | $404 |
| Complete pelvic ultrasound An imaging test using sound waves to create pictures of the organs and structures within the pelvis. |
12 | $39 | $155 |
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.
1.3% high complexity
66.3% medium
32.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$37,860
Total received (2018-2024)
Avg $5,409/year across 7 years
Top 6% in GA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
63
Companies
603
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
$17,873 (47.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$13,940 (36.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$6,047 (16.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,097
2023
$3,713
2022
$10,131
2021
$6,319
2020
$3,470
2019
$8,097
2018
$4,032
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$478
PROCEPT BioRobotics Corporation
$324
Teleflex LLC
$211
COLOPLAST CORP
$187
Myriad Genetic Laboratories, Inc.
$156
Axonics, Inc.
$144
Boston Scientific Corporation
$139
ABBVIE INC.
$105
Bayer Healthcare Pharmaceuticals Inc.
$93
Verity Pharmaceuticals Inc.
$61
PFIZER INC.
$37
Astellas Pharma US Inc
$36
Cook Medical LLC
$33
Agiliti Surgical, Inc.
$24
UROGEN PHARMA, INC.
$23
Dendreon Pharmaceuticals LLC
$17
Calyxo, Inc.
$16
Ambu Inc.
$13
Top 3 companies account for 48.3% of 2024 payments
All-time payments by company (2018-2024) ›
Dendreon Pharmaceuticals LLC
$8,193
Astellas Pharma US Inc
$6,930
Bayer HealthCare Pharmaceuticals Inc.
$4,739
NeoTract Inc.
$2,669
Cook Medical LLC
$2,138
Medtronic, Inc.
$1,623
Blue Earth Diagnostics Limited
$1,073
BOSTON SCIENTIFIC CORPORATION
$1,014
Boston Scientific Corporation
$907
Axonics, Inc.
$675
PROCEPT BioRobotics Corporation
$626
Coloplast Corp
$607
Myriad Genetic Laboratories, Inc.
$565
PFIZER INC.
$532
Amgen Inc.
$516
Teleflex LLC
$498
Janssen Biotech, Inc.
$422
ABBVIE INC.
$421
Endo Pharmaceuticals Inc.
$361
COLOPLAST CORP
$260
Bayer Healthcare Pharmaceuticals Inc.
$222
PALETTE LIFE SCIENCES, INC.
$206
Ambu Inc.
$194
Accord Healthcare, Inc.
$171
C. R. Bard, Inc. & Subsidiaries
$165
Palette Life Sciences, Inc.
$153
Antares Pharma, Inc.
$126
Cook Incorporated
$123
AbbVie, Inc.
$122
AbbVie Inc.
$110
Sumitomo Pharma America, Inc.
$102
Intuitive Surgical, Inc.
$98
Myovant Sciences Inc.
$97
Wilmington Medical Supply, Inc.
$93
UROGEN PHARMA, INC.
$82
MEDIVATION FIELD SOLUTIONS LLC
$81
Verity Pharmaceuticals Inc.
$78
AstraZeneca Pharmaceuticals LP
$74
Integra LifeSciences Corporation
$67
Dornier MedTech America, Inc
$65
Merck Sharp & Dohme LLC
$64
Janssen Products, LP
$60
Axonics Modulation Technologies, Inc.
$51
TOLMAR Pharmaceuticals, Inc.
$51
UroGen Pharma, Inc.
$46
IsoRay, Inc
$44
Allergan Inc.
$39
Rochester Medical Corporation
$38
Retrophin, Inc.
$26
Avadel Specialty Pharmaceuticals, LLC
$26
Agiliti Surgical, Inc.
$24
180 Medical, Inc.
$22
Travere Therapeutics, Inc.
$21
Supernus Pharmaceuticals, Inc.
$20
UROVANT SCIENCES INC
$17
Foundation Medicine, Inc.
$16
Olympus America Inc.
$16
Calyxo, Inc.
$16
Medline Industries, Inc.
$14
Laborie Medical Technologies Corp.
$14
AngioDynamics, Inc.
$13
Allergan, Inc.
$12
Acerus Pharmaceuticals Corporation
$11
Top 3 companies account for 52.5% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · AMS · AMS 700 · AMS 700 CXR RTE KIT · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · Androgel · AquaBeam Robotic System · Axonics · Axonics r-SNM System · Axumin · BIOFIX · BOTOX · BOTOX THERAPEUTIC · Brachytherapy Source · Bulkamid · CAMCEVI · COOK · COOK MEDICAL DILATION/ACCESS · COOK MEDICAL HOLMIUM LASER FIBER · COOK MEDICAL LASERS · COOK MEDICAL NGAGE · COOK MEDICAL STENTS · COOK MEDICAL WIRE GUIDES · CVAC ASPIRATION SYSTEM · Coloplast TFL Drive · Consumables & Accessories · Cook · Cook Medical Extractors · Cook Medical Flexor · Cook Medical Holmium Laser Fiber · Cook Medical Lasers · Cook Medical Urology · Cook Medical Wire Guides · DAKOTA · Da Vinci Surgical System · ELIGARD · ENDOBEAM · ERLEADA · Erleada · FIBER DUST · FOUNDATIONONE · GEMTESA · GENERAL ERECTILE DYSFUNCTION · GENERAL KIDNEY STONE DISEASE · GENERAL THERAPIES · GENERAL KIDNEY STONE DISEASE · General - Therapies · INTERSTIM · JELMYTO · KEYTRUDA · LUPRON DEPOT · LYNPARZA · Lithotripters & Accessories · Lupron · Lupron Depot · MYRBETRIQ · NANOKNIFE · NCIRCLE · NOCDURNA · Natesto · Noctiva · Nubeqa · ORGOVYX · OTREXUP · POSLUMA · PREMARIN · PROLARIS · PROVENGE · Porges Coloplast · Prolaris · Prolia · RESONANCE · REZUM · Rezum Generator · SPEEDICATH · Sonablate HIFU · SpaceOAR VUE System - 10mL · SpeediCath · Stenostent · TITAN · TLANDO · TOVIAZ · TRIA · Thiola · Titan · Trelstar · Tria Firm · UROLIFT · UroLift · UroLift System · VESICARE · Vortek Hydro · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · ZYTIGA · iTIND System · rezum Generator
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 (47%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for urology physician in GA.
Geographic Context
Urology physicians within 10 mi
13
Per 100K population
8.3
County median income
$50,747
Nearest hospital
PIEDMONT MACON NORTH 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. Perkel is a mixed practice specialist, with above-average Medicare volume (top 19% in GA), with mixed engagement industry engagement in the top 6% of GA peers, 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. Perkel experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Perkel performed 3,025 contrast dye for imaging (iodine-based) 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. Perkel receive payments from pharmaceutical companies?
Yes. Dr. Perkel received a total of $37,860 from 63 companies across 603 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. Perkel's costs compare to other urology physicians in Macon?
Dr. Perkel's average Medicare payment per service is $25. 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. Perkel) 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 →
Explore related providers
Same specialty & city
Urology Physicians in Macon
Browse urology physicians in Macon ranked by procedure volume and transparency data.
Highest volume
Top Urology Physicians in GA
Urology physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Urology Physicians in GA
Which GA urology physicians receive the most from drug and device companies.
By company
Dendreon Pharmaceuticals LLC Payments to Doctors
See all physicians who received payments from Dendreon Pharmaceuticals LLC.
By company
Astellas Pharma US Inc Payments to Doctors
See all physicians who received payments from Astellas Pharma US Inc.
By company
Bayer HealthCare Pharmaceuticals Inc. Payments to Doctors
See all physicians who received payments from Bayer HealthCare Pharmaceuticals Inc.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology