Medicare Enrolled
Dr. James Relle, MD
Urology Physician · West Bloomfield, MI
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. Relle 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. Relle
Dr. James Relle is an urology physician in West Bloomfield, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Relle performed 7,390 Medicare services across 5,273 unique beneficiaries.
Between the years covered by Open Payments, Dr. Relle received a total of $5,700 from 50 pharmaceutical and/or device companies across 234 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. Relle 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.
✓ 20 years in practice
▲ Top 6% volume in MI
$5,700 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,390
Medicare services
Top 6% in MI for urology physician
5,273
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~370 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. |
1,362 | $2 | $6 |
| 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. |
1,157 | $96 | $144 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
718 | $8 | $30 |
| PSA test (prostate cancer screening) | 573 | $18 | $35 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
397 | $39 | $142 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
342 | $18 | $38 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
301 | $10 | $150 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
238 | $188 | $407 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
230 | $49 | $70 |
| 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. |
196 | $287 | $576 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
177 | $8 | $105 |
| 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. |
128 | $115 | $225 |
| 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. |
126 | $65 | $100 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
115 | $105 | $300 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
101 | $25 | $45 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 99 | $134 | $700 |
| 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. |
83 | $11 | $28 |
| 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. |
73 | $26 | $325 |
| 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. |
73 | $69 | $105 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
66 | $20 | $116 |
| Sex hormone binding globulin level test A blood test that measures the level of sex hormone binding globulin, a protein that binds to sex hormones in the bloodstream. |
65 | $21 | $32 |
| Liver function blood test panel | 59 | $8 | $75 |
| Free testosterone level test A blood test that measures the amount of free testosterone in your body. Free testosterone is the portion of the hormone not bound to proteins and available for use by tissues. |
58 | $25 | $45 |
| 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. |
58 | $108 | $165 |
| 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. |
55 | $8 | $40 |
| 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. |
55 | $131 | $202 |
| 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. |
53 | $257 | $725 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
49 | $7 | $8 |
| Albumin level test A blood test that measures the amount of albumin, a protein made by the liver, in your body. |
42 | $5 | $16 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
42 | $7 | $20 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
41 | $5 | $15 |
| Injection, garamycin, gentamicin, up to 80 mg | 28 | $2 | $10 |
| 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 | $103 | $900 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
26 | $61 | $100 |
| Transurethral prostate removal with electrocautery This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding. |
24 | $597 | $1,500 |
| 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. |
20 | $150 | $320 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
20 | $29 | $45 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
18 | $63 | $175 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
13 | $187 | $500 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
13 | $48 | $325 |
| Total estradiol level test A blood test that measures the total amount of estradiol, a form of estrogen, in the body. |
13 | $27 | $45 |
| New patient office visit, complex (60-74 min) | 12 | $169 | $265 |
| Prostate incision A surgical procedure involving an incision into the prostate gland. |
11 | $363 | $1,000 |
| Follicle stimulating hormone (FSH) level A blood test to measure the level of follicle stimulating hormone, a reproductive hormone. |
11 | $18 | $35 |
| Luteinizing hormone level test A blood test that measures the level of luteinizing hormone, a reproductive hormone. This test helps evaluate hormonal balance and reproductive function. |
11 | $18 | $35 |
| Prolactin level test A blood test that measures the amount of prolactin, a hormone produced by the pituitary gland that stimulates milk production, in the body. |
11 | $19 | $35 |
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
19.4% medium
80.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,700
Total received (2018-2024)
Avg $814/year across 7 years
Top 29% in MI for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
234
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
$5,573 (97.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$127 (2.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,475
2023
$1,014
2022
$718
2021
$327
2020
$270
2019
$1,182
2018
$714
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$266
Sumitomo Pharma America, Inc.
$256
UROGEN PHARMA, INC.
$154
Laborie Medical Technologies Corp.
$90
Dendreon Pharmaceuticals LLC
$80
Axonics, Inc.
$75
PFIZER INC.
$72
Tolmar, Inc.
$70
Photocure Inc
$59
IMMUNITYBIO, INC.
$58
Antares Pharma, Inc.
$33
Myriad Genetic Laboratories, Inc.
$32
Janssen Biotech, Inc.
$30
Boston Scientific Corporation
$29
Olympus America Inc.
$28
Tempus AI, Inc
$25
Calyxo, Inc.
$23
Bayer Healthcare Pharmaceuticals Inc.
$23
Integra LifeSciences Corporation
$22
COLOPLAST CORP
$21
Teleflex LLC
$16
ABBVIE INC.
$13
Top 3 companies account for 45.8% of 2024 payments
All-time payments by company (2018-2024) ›
Teleflex LLC
$442
Astellas Pharma US Inc
$414
Ferring Pharmaceuticals Inc.
$397
Medtronic USA, Inc.
$374
Sumitomo Pharma America, Inc.
$315
Medtronic, Inc.
$266
PFIZER INC.
$232
Dendreon Pharmaceuticals LLC
$215
Axonics, Inc.
$215
Antares Pharma, Inc.
$191
NeoTract Inc.
$188
Myriad Genetic Laboratories, Inc.
$179
UROGEN PHARMA, INC.
$154
Tolmar, Inc.
$144
Endo Pharmaceuticals Inc.
$138
Coloplast Corp
$107
Laborie Medical Technologies Corp.
$106
Amgen Inc.
$103
Merck Sharp & Dohme LLC
$96
Janssen Biotech, Inc.
$85
Mission Pharmacal Company
$85
Photocure Inc
$79
PROCEPT BioRobotics Corporation
$77
UROVANT SCIENCES INC
$73
ABBVIE INC.
$68
Olympus America Inc.
$62
Blue Earth Diagnostics Limited
$62
UroGen Pharma, Inc.
$62
Boston Scientific Corporation
$59
IMMUNITYBIO, INC.
$58
180 Medical, Inc.
$51
TOLMAR Pharmaceuticals, Inc.
$49
Bayer HealthCare Pharmaceuticals Inc.
$48
Supernus Pharmaceuticals, Inc.
$46
AbbVie, Inc.
$46
AUGMENIX, INC.
$40
Clarus Therapeutics Inc.
$39
BOSTON SCIENTIFIC CORPORATION
$37
Aytu BioScience, Inc
$34
Allergan, Inc.
$34
AstraZeneca Pharmaceuticals LP
$29
Progenics Pharmaceuticals, Inc.
$28
Tempus AI, Inc
$25
Allergan Inc.
$25
Ambu Inc.
$25
Calyxo, Inc.
$23
Bayer Healthcare Pharmaceuticals Inc.
$23
Integra LifeSciences Corporation
$22
COLOPLAST CORP
$21
TherapeuticsMD, Inc.
$11
Top 3 companies account for 22.0% of all-time payments
Associated products mentioned in payments ›
AMS · AMS 700 · ANKTIVA · AQUABEAM ROBOTIC SYSTEM · Altis · Androgel · AquaBeam Robotic System · Aquoral · Axonics · Axumin · BOTOX · BOTOX THERAPEUTIC · CVAC ASPIRATION SYSTEM · CYSVIEW · ELIGARD · ERLEADA · FIRMAGON · GEMTESA · GREENLIGHT · HD CAMERA HEAD · IMVEXXY · INTERSTIM · INTERSTIM ICON · JATENZO · JELMYTO · KEYTRUDA · LYNPARZA · Lupron · MYRBETRIQ · MYRISK · Myrbetriq · NOCDURNA · Natesto · Nubeqa · OMNIGRAFT · ORGOVYX · Optilume BPH Drug Coated Balloon Catheter · PROLARIS · PROVENGE · PYLARIFY · Prolia · Saffron · Solyx SIS System · SpaceOAR · SpeediCath · Surgical Instruments: KMedic & Pilling brands · TITAN · TLANDO · TOVIAZ · UROLIFT · UroLift · UroLift System · Urocit-K · XIAFLEX · XTANDI · XYOSTED · Xofigo · 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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
203
Per 100K population
16.0
County median income
$95,296
Nearest hospital
HENRY FORD HEALTH WEST BLOOMFIELD 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. Relle is a clinical cardiology specialist, with above-average Medicare volume (top 6% in MI), with low-engagement industry engagement, with 20 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. Relle experienced with automated urinalysis?
Based on Medicare claims data, Dr. Relle performed 1,362 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. Relle receive payments from pharmaceutical companies?
Yes. Dr. Relle received a total of $5,700 from 50 companies across 234 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. Relle's costs compare to other urology physicians in West Bloomfield?
Dr. Relle's average Medicare payment per service is $53. 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. Relle) 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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