Medicare Enrolled
Dr. Joshua Sesek, MD
Urology Physician · Pinehurst, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Sesek 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. Sesek
Dr. Joshua Sesek is an urology physician in Pinehurst, NC, with 12 years of NPI registration. Based on federal Medicare data, Dr. Sesek performed 12,132 Medicare services across 4,405 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sesek received a total of $7,105 from 35 pharmaceutical and/or device companies across 299 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. Sesek 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
▲ Top 3% volume in NC
$7,105 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,132
Medicare services
Top 3% in NC for urology physician
4,405
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,011 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 | 3,650 | $2 | $8 |
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
1,800 | $5 | $22 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
1,374 | $3 | $22 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
813 | $7 | $75 |
| 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. |
641 | $87 | $370 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
617 | $8 | $23 |
| 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. |
586 | $62 | $242 |
| PSA test (prostate cancer screening) | 433 | $18 | $104 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 232 | $136 | $921 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
150 | $169 | $706 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
143 | $89 | $472 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
134 | $51 | $332 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
107 | $8 | $51 |
| 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. |
92 | $8 | $37 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
89 | $4 | $34 |
| Coagulation assessment blood test A blood test that measures how long it takes for blood to clot. The sample can be plasma or whole blood. |
89 | $6 | $51 |
| 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. |
88 | $65 | $399 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
76 | $21 | $109 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
76 | $4 | $36 |
| 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. |
71 | $113 | $513 |
| Simple change of bladder tube | 63 | $73 | $379 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
53 | $5 | $31 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
50 | $57 | $302 |
| 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. |
49 | $23 | $118 |
| 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. |
46 | $19 | $82 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
46 | $105 | $428 |
| 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. |
40 | $186 | $1,031 |
| 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. |
40 | $24 | $552 |
| Tissue pathology examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue. |
40 | $28 | $234 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
38 | $5 | $175 |
| 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. |
32 | $135 | $539 |
| 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. |
32 | $62 | $250 |
| 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. |
31 | $311 | $1,634 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
31 | $171 | $878 |
| Cell examination with selective cellular enhancement A laboratory test that examines cells from a specimen using a technique to selectively enhance specific cellular features for detailed analysis. |
31 | $21 | $106 |
| 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. |
29 | $238 | $1,185 |
| 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. |
29 | $192 | $1,125 |
| 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. |
25 | $93 | $350 |
| 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. |
23 | $121 | $1,940 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
22 | $16 | $49 |
| 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. |
21 | $147 | $708 |
| 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. |
19 | $75 | $335 |
| Cystoscopy with chemical ablation of bladder A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue. |
17 | $289 | $1,319 |
| Prostate needle biopsy pathology exam Laboratory examination of prostate tissue samples obtained via needle biopsy. The pathologist inspects the tissue both visually and under a microscope to identify any abnormalities. |
15 | $137 | $670 |
| 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. |
13 | $81 | $563 |
| 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. |
12 | $558 | $3,406 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
12 | $18 | $87 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
12 | $43 | $252 |
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.
0.8% high complexity
24.5% medium
74.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,105
Total received (2020-2024)
Avg $1,421/year across 5 years
Top 23% in NC for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
299
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
$7,105 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,783
2023
$1,557
2022
$1,797
2021
$1,730
2020
$238
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Sumitomo Pharma America, Inc.
$352
Axonics, Inc.
$268
PFIZER INC.
$215
Astellas Pharma US Inc
$188
PROCEPT BioRobotics Corporation
$174
Endo USA, Inc.
$117
ABBVIE INC.
$95
Janssen Biotech, Inc.
$79
Myriad Genetic Laboratories, Inc.
$73
Boston Scientific Corporation
$63
Dendreon Pharmaceuticals LLC
$48
Endo Pharmaceuticals Inc.
$37
Teleflex LLC
$20
PROGENICS PHARMACEUTICALS, INC.
$20
Laborie Medical Technologies Corp.
$18
Ferring Pharmaceuticals Inc.
$17
Top 3 companies account for 46.8% of 2024 payments
All-time payments by company (2020-2024) ›
Astellas Pharma US Inc
$997
Axonics, Inc.
$743
Myriad Genetic Laboratories, Inc.
$622
Sumitomo Pharma America, Inc.
$621
PFIZER INC.
$496
Medtronic, Inc.
$462
Endo Pharmaceuticals Inc.
$439
Dendreon Pharmaceuticals LLC
$380
Janssen Biotech, Inc.
$371
AbbVie Inc.
$246
UROVANT SCIENCES INC
$223
ABBVIE INC.
$197
PROCEPT BioRobotics Corporation
$193
Myovant Sciences Inc.
$150
Teleflex LLC
$121
Endo USA, Inc.
$117
Laborie Medical Technologies Corp.
$93
Boston Scientific Corporation
$77
Merck Sharp & Dohme LLC
$68
Dornier MedTech America, Inc
$64
Allergan, Inc.
$62
UroGen Pharma, Inc.
$61
Coloplast Corp
$58
Olympus America Inc.
$26
Merck Sharp & Dohme Corporation
$24
UROGEN PHARMA, INC.
$24
COLOPLAST CORP
$24
Sun Pharmaceutical Industries Inc.
$22
ABC Home Medical Supply, Inc.
$20
PROGENICS PHARMACEUTICALS, INC.
$20
DENTSPLY IH AB
$19
Smith+Nephew, Inc.
$18
Ferring Pharmaceuticals Inc.
$17
Bayer HealthCare Pharmaceuticals Inc.
$15
Acerus Pharmaceuticals Corporation
$14
Top 3 companies account for 33.2% of all-time payments
Associated products mentioned in payments ›
ADSTILADRIN · ALTIS · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · Axonics · Axonics r-SNM System · BOTOX · BRAC CDx · BRACAnalysis CDx · Bulkamid · Consumables & Accessories · ERLEADA · FEMALE INCONTINENCE · GEMTESA · INTERSTIM · JELMYTO · KEYTRUDA · LUPRON DEPOT · LoFric · MYRBETRIQ · Myrbetriq · Natesto · Nubeqa · ORGOVYX · Optilume BPH Drug Coated Balloon Catheter · PROLARIS · PROVENGE · PYLARIFY · Prolaris · Restorelle · SKYRIZI · STRAVIX · UROLIFT · Upsylon · UroLift ATC System · UroLift System · XIAFLEX · XTANDI · Xtandi · YONSA · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
10
Per 100K population
9.7
County median income
$82,837
Nearest hospital
FIRSTHEALTH MOORE REGIONAL 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. Sesek is a mixed practice specialist, with above-average Medicare volume (top 3% in NC), 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. Sesek experienced with bcg treatment for bladder cancer?
Based on Medicare claims data, Dr. Sesek performed 3,650 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. Sesek receive payments from pharmaceutical companies?
Yes. Dr. Sesek received a total of $7,105 from 35 companies across 299 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. Sesek's costs compare to other urology physicians in Pinehurst?
Dr. Sesek's average Medicare payment per service is $26. 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. Sesek) 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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