Dr. James Vestal, MD
What this data tells you about Dr. Vestal
Dr. James Vestal is an urology physician in Arlington, TX, with 20 years in practice. Based on federal Medicare data, Dr. Vestal performed 8,759 Medicare services across 1,949 unique beneficiaries.
Between the years covered by Open Payments, Dr. Vestal received a total of $314,401 from 58 pharmaceutical and/or device companies across 771 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Vestal is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 2,220 | $18 | $53 |
| BCG treatment for bladder cancer | 1,890 | $2 | $9 |
| Leuprolide injectable, camcevi, 1 mg | 1,344 | $64 | $195 |
| Office visit, established patient (30-39 min) | 706 | $87 | $278 |
| Chronic care management, first 20 min/month | 301 | $48 | $122 |
| Blood draw (venipuncture) | 274 | $6 | $12 |
| PSA test (prostate cancer screening) | 208 | $18 | $41 |
| Urinalysis, manual | 201 | $3 | $8 |
| Automated urinalysis | 168 | $2 | $5 |
| Complete blood count (CBC), automated | 154 | $6 | $14 |
| Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 146 | $47 | $122 |
| Diagnostic exam of bladder and urethra using an endoscope | 116 | $175 | $532 |
| Bladder ultrasound after voiding | 115 | $8 | $23 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 108 | $129 | $374 |
| Testosterone (hormone) level, total | 105 | $25 | $57 |
| Comprehensive metabolic blood panel | 88 | $10 | $23 |
| Instillation of anti-cancer drug into bladder | 82 | $68 | $201 |
| Office visit, established patient (20-29 min) | 70 | $65 | $201 |
| Basic metabolic blood panel | 67 | $8 | $19 |
| Drug injection, under skin or into muscle | 62 | $11 | $32 |
| Office visit, established patient, complex (40-54 min) | 60 | $129 | $373 |
| Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle | 50 | $26 | $78 |
| Chronic care management, additional 20 min/month | 50 | $37 | $120 |
| Ceftriaxone antibiotic injection | 46 | $0 | $1 |
| New patient office visit (45-59 min) | 26 | $130 | $361 |
| Insertion of stent in ureter using an endoscope | 22 | $95 | $982 |
| Simple bladder irrigation and/or instillation | 15 | $58 | $176 |
| Destruction and/or removal of large growth of bladder using an endoscope | 13 | $286 | $845 |
| Biopsy of prostate gland | 13 | $176 | $516 |
| Ultrasound scan of pelvic region through rectum | 13 | $100 | $299 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 13 | $18 | $53 |
| Initial hospital admission, high complexity | 13 | $135 | $391 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (85%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in urology physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for urology physician in TX.
Geographic Context
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Vestal is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), and high industry engagement (speaking/promotional, top 2%), with 20 years of practice experience.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Vestal experienced with denosumab injection (prolia/xgeva)?
Does Dr. Vestal receive payments from pharmaceutical companies?
How do Dr. Vestal's costs compare to other urology physicians in Arlington?
What does Data Coverage mean?
Is this data up to date?
Explore related providers
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. The Transparency Score measures 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