Medicare Enrolled
Dr. Shailen Sehgal, MD
Urology Physician · Pittsburgh, PA
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. Sehgal 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. Sehgal
Dr. Shailen Sehgal is an urology physician in Pittsburgh, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Sehgal performed 1,754 Medicare services across 1,340 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sehgal received a total of $6,664 from 45 pharmaceutical and/or device companies across 278 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. Sehgal 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 34% volume in PA
$6,664 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,754
Medicare services
Top 34% in PA for urology physician
1,340
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~92 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 |
|---|---|---|---|
| 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. |
390 | $85 | $215 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
368 | $7 | $43 |
| 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. |
290 | $2 | $10 |
| 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. |
168 | $64 | $173 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
120 | $164 | $574 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
112 | $3 | $20 |
| 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. |
70 | $60 | $180 |
| 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. |
58 | $126 | $420 |
| 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. |
54 | $117 | $302 |
| 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. |
18 | $102 | $894 |
| 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. |
17 | $94 | $413 |
| 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. |
15 | $314 | $1,233 |
| 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. |
13 | $226 | $842 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
13 | $180 | $676 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
13 | $44 | $270 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
12 | $5 | $70 |
| 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. |
12 | $26 | $225 |
| 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. |
11 | $136 | $300 |
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.
2.6% high complexity
23.4% medium
73.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,664
Total received (2018-2024)
Avg $952/year across 7 years
Top 21% in PA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
278
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
$5,007 (75.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,656 (24.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,054
2023
$868
2022
$708
2021
$727
2020
$346
2019
$999
2018
$961
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,656
PFIZER INC.
$133
ABBVIE INC.
$67
Astellas Pharma US Inc
$47
Antares Pharma, Inc.
$39
Ferring Pharmaceuticals Inc.
$32
Axonics, Inc.
$22
Sumitomo Pharma America, Inc.
$22
Photocure Inc
$21
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 90.3% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$1,848
Astellas Pharma US Inc
$896
PFIZER INC.
$616
Medtronic USA, Inc.
$536
Dendreon Pharmaceuticals LLC
$243
Axonics, Inc.
$228
Janssen Biotech, Inc.
$223
Antares Pharma, Inc.
$160
AbbVie Inc.
$151
Ferring Pharmaceuticals Inc.
$141
Myovant Sciences Inc.
$126
TOLMAR Pharmaceuticals, Inc.
$125
Boston Scientific Corporation
$118
Dornier MedTech America, Inc
$112
Sumitomo Pharma America, Inc.
$110
ABBVIE INC.
$103
UROVANT SCIENCES INC
$103
Endo Pharmaceuticals Inc.
$95
AbbVie, Inc.
$82
Bayer HealthCare Pharmaceuticals Inc.
$78
BOSTON SCIENTIFIC CORPORATION
$64
Merck Sharp & Dohme Corporation
$54
AstraZeneca Pharmaceuticals LP
$45
180 Medical, Inc.
$40
Bayer Healthcare Pharmaceuticals Inc.
$34
Tolmar, Inc.
$25
Innovation Technologies Inc
$22
Supernus Pharmaceuticals, Inc.
$22
Photocure Inc
$21
Amgen Inc.
$20
PROCEPT BioRobotics Corporation
$20
Axonics Modulation Technologies, Inc.
$17
Alnylam Pharmaceuticals Inc.
$16
Merck Sharp & Dohme LLC
$16
Aytu BioScience, Inc
$16
Clarus Therapeutics Inc.
$16
TherapeuticsMD, Inc.
$16
COLOPLAST CORP
$15
Janssen Scientific Affairs, LLC
$14
SRS Medical Systems, Inc.
$14
NeoTract Inc.
$14
DENTSPLY IH Inc.
$12
Metuchen Pharmaceuticals
$12
MEDIVATION FIELD SOLUTIONS LLC
$12
Avadel Specialty Pharmaceuticals, LLC
$10
Top 3 companies account for 50.4% of all-time payments
Associated products mentioned in payments ›
ADSTILADRIN · AMS 700 CXR RTE Kit · AQUABEAM ROBOTIC SYSTEM · Androgel · Axonics · Axonics r-SNM System · BOTOX · Bulkamid · CYSVIEW · Dornier MedTech · EDEX · ELIGARD · ERLEADA · Erleada · FIRMAGON · GEMTESA · GENERAL ERECTILE DYSFUNCTION · GENERAL THERAPIES · GENERAL ERECTILE DYSFUNCTION · Genesis · IMVEXXY · INTERSTIM · IRRISEPT · JATENZO · KEYTRUDA · LITHOVUE · LUPRON DEPOT · LYNPARZA · LoFric · Lupron · Lupron Depot · MYRBETRIQ · Myrbetriq · NOCDURNA · Natesto · Noctiva · Nubeqa · ORGOVYX · OXLUMO · PREMARIN · PREMARIN ORALS · PROVENGE · PVC · Prolia · Stendra · TLANDO · UroCuff · UroLift · VERIFY · Veozah · XIAFLEX · XTANDI · XYOSTED · Xofigo
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 (75%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
88
Per 100K population
7.1
County median income
$76,393
Nearest hospital
ST CLAIR 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. Sehgal is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, 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. Sehgal experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Sehgal performed 390 office visit, established patient (30-39 min) 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. Sehgal receive payments from pharmaceutical companies?
Yes. Dr. Sehgal received a total of $6,664 from 45 companies across 278 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. Sehgal's costs compare to other urology physicians in Pittsburgh?
Dr. Sehgal's average Medicare payment per service is $58. 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. Sehgal) 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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