Medicare Enrolled
Dr. Chester Graham, M.D.
Urology Physician · Allen, TX
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. Graham 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. Graham
Dr. Chester Graham is an urology physician in Allen, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Graham performed 4,093 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Graham received a total of $1,660 from 29 pharmaceutical and/or device companies across 76 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. Graham 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 of NPI registration
▲ Top 29% volume in TX
$1,660 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,093
Medicare services
Top 29% in TX for urology physician
Not available
Unique patients (not deduplicated)
$35
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 |
|---|---|---|---|
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
912 | $3 | $6 |
| 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. |
817 | $61 | $183 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
621 | $7 | $22 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
331 | $8 | $17 |
| PSA test (prostate cancer screening) | 266 | $18 | $37 |
| 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. |
200 | $88 | $259 |
| 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. |
180 | $49 | $127 |
| 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. |
130 | $119 | $336 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 105 | $133 | $380 |
| 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. |
82 | $2 | $5 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
65 | $8 | $16 |
| 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. |
59 | $43 | $126 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
50 | $8 | $16 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
40 | $37 | $96 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
35 | $169 | $495 |
| 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. |
35 | $24 | $70 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
32 | $8 | $16 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
31 | $8 | $17 |
| Catheter specimen collection A procedure to collect a specimen using a catheter. This service is available in all places of service. |
25 | $8 | $16 |
| 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. |
23 | $84 | $226 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
16 | $188 | $492 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
16 | $93 | $283 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
11 | $54 | $156 |
| 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. |
11 | $140 | $362 |
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.
0.6% high complexity
16.8% medium
82.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,660
Total received (2018-2024)
Avg $237/year across 7 years
Bottom 34% in TX for urology physician
29
Companies
76
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
$237
2023
$271
2022
$479
2021
$226
2020
$38
2019
$145
2018
$264
Payments by company (2024)
Dendreon Pharmaceuticals LLC
$49
Verity Pharmaceuticals Inc.
$34
Novartis Pharmaceuticals Corporation
$27
Ferring Pharmaceuticals Inc.
$26
PROGENICS PHARMACEUTICALS, INC.
$25
Sumitomo Pharma America, Inc.
$24
UROGEN PHARMA, INC.
$19
Telix Pharmaceuticals
$18
Boston Scientific Corporation
$15
Top 3 companies account for 46.6% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$293
Boston Scientific Corporation
$189
Endo Pharmaceuticals Inc.
$162
Myovant Sciences Inc.
$144
Sumitomo Pharma America, Inc.
$111
Dendreon Pharmaceuticals LLC
$82
ABBVIE INC.
$78
AbbVie Inc.
$73
Innovation Technologies Inc
$47
UROGEN PHARMA, INC.
$40
PFIZER INC.
$39
UROVANT SCIENCES INC
$39
Telix Pharmaceuticals
$37
Verity Pharmaceuticals Inc.
$34
Tolmar, Inc.
$28
Novartis Pharmaceuticals Corporation
$27
Ferring Pharmaceuticals Inc.
$26
Avadel Specialty Pharmaceuticals, LLC
$25
PROGENICS PHARMACEUTICALS, INC.
$25
TOLMAR Pharmaceuticals, Inc.
$24
Bayer HealthCare Pharmaceuticals Inc.
$23
Photocure Inc
$18
Merck Sharp & Dohme Corporation
$17
Axonics, Inc.
$17
Retrophin, Inc.
$15
Travere Therapeutics, Inc.
$15
Antares Pharma, Inc.
$12
Augmenix, Inc.
$12
Mission Pharmacal Company
$11
Top 3 companies account for 38.8% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ADSTILADRIN · AVEED · Axonics · Cysview · ELIGARD · GEMTESA · ILLUCCIX · IRRISEPT · JELMYTO · KEYTRUDA · LUPRON DEPOT · MYRBETRIQ · Myrbetriq · NOCDURNA · Noctiva · Nubeqa · ORGOVYX · PLUVICTO · PROVENGE · PYLARIFY · REZUM · Rezum Generator · SpaceOAR · TOVIAZ · Trelstar · Urocit-K · XIAFLEX · XTANDI · Xtandi · rezum Generator
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
114
County median income
$117,588
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH PRESBYTERIAN HOSPITAL ALLEN
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. Graham is a clinical cardiology specialist, with above-average Medicare volume (top 29% in TX), 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. Graham experienced with urinalysis with microscopic exam?
Based on Medicare claims data, Dr. Graham performed 912 urinalysis with microscopic exam 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. Graham receive payments from pharmaceutical companies?
Yes. Dr. Graham received a total of $1,660 from 29 companies across 76 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. Graham's costs compare to other urology physicians in Allen?
Dr. Graham's average Medicare payment per service is $35. 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. Graham) 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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology