Medicare Enrolled
Dr. Shailen Sehgal, MD
Urology Physician · Pittsburgh, PA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 →
Are you Dr. Sehgal?
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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 in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Sehgal received a total of $6,664 from 45 pharmaceutical and/or device companies across 278 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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 of NPI registration
▲ Top 35% volume in PA
$6,664 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,754
Medicare services
Top 35% in PA for urology physician
Not available
Unique patients (not deduplicated)
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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. These counts do not measure clinical quality or years of experience.
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
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
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)
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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Urology physicians in nearby ZIP areas
88
County median income
$76,393
Nearest hospital to ZIP centroid (approximate)
ST CLAIR HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Sehgal receive payments from pharmaceutical companies?
Yes. Dr. Sehgal received a total of $6,664 from 45 companies across 278 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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