Medicare Enrolled

Dr. Matthew Houlihan, D.O.

Urology Physician · Lake Barrington, IL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
22285 N PEPPER RD STE 201, Lake Barrington, IL 60010
8473825080
In practice since 2014 (12 years)
NPI: 1174941769 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. Houlihan 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. Houlihan

Dr. Matthew Houlihan is an urology physician in Lake Barrington, IL, with 12 years of NPI registration. Based on federal Medicare data, Dr. Houlihan performed 1,570 Medicare services across 1,221 unique beneficiaries.

Between the years covered by Open Payments, Dr. Houlihan received a total of $4,463 from 36 pharmaceutical and/or device companies across 139 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. Houlihan 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.

✓ 12 years in practice ▲ 1,570 Medicare services $4,463 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,570
Medicare services
Bottom 48% in IL for urology physician
1,221
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~131 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
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.
469 $2 $31
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.
188 $62 $175
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
114 $8 $192
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.
98 $120 $375
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.
97 $89 $250
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
72 $175 $590
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.
65 $40 $120
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
63 $8 $28
PSA test (prostate cancer screening) 61 $18 $100
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.
55 $81 $280
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
52 $17 $83
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.
49 $42 $246
Telephone medical discussion, 5-10 minutes
A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters.
39 $40 $100
Lower leg neurostimulator electrode insertion
A procedure to place an electrode in the lower leg for neurostimulation therapy.
35 $87 $300
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.
27 $104 $1,970
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.
26 $19 $259
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.
24 $102 $366
Transrectal ultrasound of the pelvis
An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures.
13 $100 $478
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 $227 $1,036
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.
11 $321 $1,500
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.
3.2% high complexity
9.7% medium
87.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$4,463
Total received (2018-2024)
Avg $638/year across 7 years
Top 36% in IL for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
139
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
$4,463 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$709
2023
$750
2022
$652
2021
$473
2020
$181
2019
$1,548
2018
$150

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$99
Janssen Biotech, Inc.
$72
ABBVIE INC.
$70
Teleflex LLC
$60
Merck Sharp & Dohme LLC
$54
Tempus AI, Inc
$50
Sumitomo Pharma America, Inc.
$45
Bayer Healthcare Pharmaceuticals Inc.
$44
Tolmar, Inc.
$42
Endo USA, Inc.
$36
Boston Scientific Corporation
$35
Endo Pharmaceuticals Inc.
$33
COLOPLAST CORP
$19
ACCORD HEALTHCARE, INC.
$18
Olympus America Inc.
$16
Myriad Genetic Laboratories, Inc.
$16
Top 3 companies account for 34.1% of 2024 payments
All-time payments by company (2018-2024) ›
Coloplast Corp
$1,315
Boston Scientific Corporation
$343
BOSTON SCIENTIFIC CORPORATION
$327
Astellas Pharma US Inc
$247
Janssen Biotech, Inc.
$237
Myovant Sciences Inc.
$213
PFIZER INC.
$206
Dendreon Pharmaceuticals LLC
$200
ABBVIE INC.
$153
Sumitomo Pharma America, Inc.
$147
Merck Sharp & Dohme LLC
$118
Endo Pharmaceuticals Inc.
$99
Bayer Healthcare Pharmaceuticals Inc.
$63
Rochester Medical Corporation
$61
Amgen Inc.
$61
Teleflex LLC
$60
TherapeuticsMD, Inc.
$58
AstraZeneca Pharmaceuticals LP
$58
Tempus AI, Inc
$50
AngioDynamics, Inc.
$49
TOLMAR Pharmaceuticals, Inc.
$42
Tolmar, Inc.
$42
Endo USA, Inc.
$36
Olympus America Inc.
$33
UROGEN PHARMA, INC.
$30
Antares Pharma, Inc.
$28
Clarus Therapeutics Inc.
$26
Medtronic, Inc.
$25
Janssen Scientific Affairs, LLC
$20
COLOPLAST CORP
$19
Merck Sharp & Dohme Corporation
$18
ACCORD HEALTHCARE, INC.
$18
Cook Medical LLC
$16
KOELIS Inc.
$16
Myriad Genetic Laboratories, Inc.
$16
Axonics, Inc.
$14
Top 3 companies account for 44.5% of all-time payments
Associated products mentioned in payments ›
AMS · AMS 700 CXR RTE KIT · AMS 800 Artificial Urinary Sphincter · ANNOVERA · AVEED · Axonics r-SNM System · CAMCEVI · ELIGARD · ERLEADA · Erleada · GEMTESA · GENERAL ERECTILE DYSFUNCTION · GENERAL BPH · GENERAL ERECTILE DYSFUNCTION · GENERAL - ERECTILE DYSFUNCTION · IMVEXXY · INTERSTIM · JATENZO · JELMYTO · KEYTRUDA · LUPRON DEPOT · LYNPARZA · LithoVue · Luja Coude · Myrbetriq · NANOKNIFE · NOCDURNA · Nubeqa · OBTRYX · ORGOVYX · PROLARIS · PROVENGE · Porges Coloplast · RESONANCE · SOLTIVE · SpeediCath · TITAN · Titan · Trinity · UROLIFT · XGEVA · XIAFLEX · XTANDI · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an urology physician in Lake Barrington?
Compare urology physicians in the Lake Barrington area by procedure volume, costs, and industry payment transparency.
Browse urology physicians nearby

Geographic Context

Urology physicians within 10 mi
170
Per 100K population
3.3
County median income
$81,797
Nearest hospital
ADVOCATE GOOD SHEPHERD HOSPITAL
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. Houlihan is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Houlihan experienced with automated urinalysis?
Based on Medicare claims data, Dr. Houlihan performed 469 automated urinalysis 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. Houlihan receive payments from pharmaceutical companies?
Yes. Dr. Houlihan received a total of $4,463 from 36 companies across 139 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. Houlihan's costs compare to other urology physicians in Lake Barrington?
Dr. Houlihan's average Medicare payment per service is $48. 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. Houlihan) 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. 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

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 →