Medicare Enrolled
Dr. Robert Parham, MD
Urology Physician · Fort Worth, 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. Parham 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. Parham
Dr. Robert Parham is an urology physician in Fort Worth, TX, with 21 years of NPI registration. Based on federal Medicare data, Dr. Parham performed 2,665 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Parham received a total of $6,920 from 52 pharmaceutical and/or device companies across 224 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. Parham 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.
✓ 21 years of NPI registration
▲ Top 42% volume in TX
$6,920 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,665
Medicare services
Top 42% in TX 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 |
|---|---|---|---|
| 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. |
398 | $2 | $7 |
| 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. |
331 | $65 | $149 |
| 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. |
318 | $94 | $217 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
263 | $8 | $43 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
127 | $8 | $10 |
| 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. |
124 | $272 | $641 |
| 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. |
122 | $151 | $573 |
| 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. |
120 | $25 | $430 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
93 | $3 | $8 |
| PSA test (prostate cancer screening) | 87 | $18 | $51 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
80 | $178 | $449 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
80 | $8 | $24 |
| 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. |
79 | $109 | $344 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
73 | $5 | $167 |
| 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. |
68 | $8 | $24 |
| 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. |
65 | $8 | $24 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
31 | $8 | $23 |
| 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. |
27 | $121 | $401 |
| 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. |
25 | $66 | $212 |
| 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. |
25 | $130 | $295 |
| Voiding cystourethrogram An imaging procedure that uses X-rays to visualize the bladder and urethra while urine is being passed. |
17 | $85 | $455 |
| Radiologist review of bladder and urethra images with contrast A radiologist reviews medical images of the urinary bladder and urethra taken with contrast dye, including images captured after the patient has urinated. |
17 | $83 | $166 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
17 | $95 | $250 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
15 | $148 | $498 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
14 | $25 | $71 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
13 | $42 | $263 |
| 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. |
12 | $19 | $65 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
12 | $18 | $51 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
12 | $8 | $50 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$6,920
Total received (2018-2024)
Avg $989/year across 7 years
Top 28% in TX for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
224
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
$1,437
2023
$216
2022
$1,364
2021
$380
2020
$488
2019
$1,546
2018
$1,490
Payments by company (2024)
Medtronic, Inc.
$153
Boston Scientific Corporation
$153
Calyxo, Inc.
$153
COLOPLAST CORP
$134
UROGEN PHARMA, INC.
$128
Astellas Pharma US Inc
$125
Endo USA, Inc.
$92
ABBVIE INC.
$63
PROCEPT BioRobotics Corporation
$50
Blue Earth Diagnostics Limited
$50
Axonics, Inc.
$45
Merck Sharp & Dohme LLC
$33
Dendreon Pharmaceuticals LLC
$33
Ferring Pharmaceuticals Inc.
$27
Innovation Technologies Inc
$24
Ambu Inc.
$23
180 Medical, Inc.
$22
Endo Pharmaceuticals Inc.
$21
Sumitomo Pharma America, Inc.
$21
CIVCO Medical Instruments
$19
HISTOSONICS,INC.
$17
Ethicon US, LLC
$16
Antares Pharma, Inc.
$13
Valencia Technologies Corporation
$13
Mission Pharmacal Company
$9
Top 3 companies account for 31.9% of 2024 payments
All-time payments by company (2018-2024) ›
Coloplast Corp
$1,310
Valencia Technologies Corporation
$896
Astellas Pharma US Inc
$883
Boston Scientific Corporation
$472
Endo Pharmaceuticals Inc.
$370
BOSTON SCIENTIFIC CORPORATION
$329
Axonics, Inc.
$272
NeoTract Inc.
$260
Medtronic, Inc.
$188
ABBVIE INC.
$160
Calyxo, Inc.
$153
COLOPLAST CORP
$149
UROGEN PHARMA, INC.
$144
PFIZER INC.
$99
Endo USA, Inc.
$92
Blue Earth Diagnostics Limited
$85
HealthTronics Mobile Solutions, LLC
$83
Ferring Pharmaceuticals Inc.
$75
Myovant Sciences Inc.
$66
PROCEPT BioRobotics Corporation
$61
Zyla Life Sciences
$61
Medtronic USA, Inc.
$52
Merck Sharp & Dohme LLC
$50
AbbVie, Inc.
$41
180 Medical, Inc.
$39
Olympus America Inc.
$37
Clarus Therapeutics Inc.
$33
Dendreon Pharmaceuticals LLC
$33
TOLMAR Pharmaceuticals, Inc.
$32
Rochester Medical Corporation
$30
Axonics Modulation Technologies, Inc.
$27
Antares Pharma, Inc.
$26
Innovation Technologies Inc
$24
Ambu Inc.
$23
Progenics Pharmaceuticals, Inc.
$21
Sumitomo Pharma America, Inc.
$21
CIVCO Medical Instruments
$19
Lilly USA, LLC
$17
HISTOSONICS,INC.
$17
Amgen Inc.
$17
Ethicon US, LLC
$16
ConvaTec Inc.
$15
Allergan Inc.
$15
Janssen Biotech, Inc.
$15
Baxter Healthcare
$14
AbbVie Inc.
$14
Duchesnay USA Incorporated
$13
Biocomposites Inc
$12
MEDIVATION FIELD SOLUTIONS LLC
$12
J&R Medical, LLC
$11
Avadel Specialty Pharmaceuticals, LLC
$11
Mission Pharmacal Company
$9
Top 3 companies account for 44.6% of all-time payments
Associated products mentioned in payments ›
ADSTILADRIN · ADVANTAGE FIT · ALTIS · AQUABEAM SYSTEM · AVEED · AquaBeam Robotic System · Axonics · Axonics r-SNM System · Axumin · BOTOX · Bulkamid · CATHETER · CVAC ASPIRATION SYSTEM · ELIGARD · EMGALITY · Endocare Cryocare System · Erleada · GENERAL ERECTILE DYSFUNCTION · GENERAL BPH · GENERAL ERECTILE DYSFUNCTION · GENERAL FEMALE SUI · GENERAL - ERECTILE DYSFUNCTION · GENERAL BPH · GENERAL ERECTILE DYSFUNCTION · GENERAL KIDNEY STONE DISEASE · GENERAL MALE SUI · GENERAL THERAPIES · GENTLECATH GLIDE · General - Erectile Dysfunction · General - Therapies · INTERSTIM · IRRISEPT · JATENZO · JELMYTO · KEYTRUDA · LIGASURE · LUPRON DEPOT · LYNPARZA · Lupron · MYRBETRIQ · Mobile Cryoblation Services · Myrbetriq · NOCDURNA · Noctiva · ORGOVYX · Olympus Cystoscopes · Osphena · POSLUMA · PREMARIN · PROVENGE · PYLARIFY · Prolia · Rezum Generator · SPEEDICATH · SPRIX · STRATAFIX · SUTENT · SpaceOAR VUE System - 10mL · SpeediCath · Stimulan · TISSEEL · TITAN · Titan · URIBEL TABS · UroLift · VESICARE · XIAFLEX · XTANDI · XYOSTED · Xtandi · eCoin Device Kit · iTIND System
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
92
County median income
$81,905
Nearest hospital to ZIP centroid (approximate)
JPS HEALTH NETWORK
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. Parham is a clinical cardiology specialist, with moderate Medicare volume, with 21 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. Parham experienced with automated urinalysis?
Based on Medicare claims data, Dr. Parham performed 398 automated urinalysis 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. Parham receive payments from pharmaceutical companies?
Yes. Dr. Parham received a total of $6,920 from 52 companies across 224 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. Parham's costs compare to other urology physicians in Fort Worth?
Dr. Parham'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. Parham) 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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