Dr. Sophie Fletcher, MD
What this data tells you about Dr. Fletcher
Dr. Sophie Fletcher is an urology physician in Houston, TX, with 18 years in practice. Based on federal Medicare data, Dr. Fletcher performed 25,828 Medicare services across 1,606 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fletcher received a total of $1,638 from 14 pharmaceutical and/or device companies across 41 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. Fletcher 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 |
|---|---|---|---|
| Botox injection, per unit | 24,000 | $5 | $15 |
| Office visit, established patient (30-39 min) | 249 | $105 | $364 |
| Bladder ultrasound after voiding | 243 | $9 | $95 |
| Exam with injections of chemical for destruction of bladder using an endoscope | 198 | $359 | $1,359 |
| Diagnostic exam of bladder and urethra using an endoscope | 168 | $205 | $906 |
| New patient office visit (45-59 min) | 156 | $124 | $554 |
| Office visit, established patient (20-29 min) | 117 | $75 | $247 |
| Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 91 | $30 | $833 |
| Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies | 89 | $354 | $1,647 |
| Insertion of device into abdomen with pressure and urine flow rate study | 87 | $184 | $774 |
| Electronic assessment of bladder emptying | 76 | $6 | $316 |
| Urinalysis, manual | 56 | $3 | $17 |
| Office visit, established patient (10-19 min) | 43 | $46 | $154 |
| Simple insertion of temporary bladder tube | 38 | $53 | $364 |
| Creation of sling around urethra in female to control leakage | 38 | $573 | $2,816 |
| New patient office visit (30-44 min) | 37 | $85 | $365 |
| Hospital follow-up visit, low complexity | 37 | $41 | $139 |
| Complicated insertion of bladder tube | 24 | $103 | $585 |
| Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming | 21 | $50 | $298 |
| Insertion of stent in ureter using an endoscope | 20 | $129 | $1,644 |
| Surgical repair of vaginal defect using an endoscope | 20 | $539 | $2,854 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 20 | $60 | $345 |
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 ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
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. Fletcher is a mixed practice specialist, with above-average Medicare volume (top 3% in TX), and low-engagement industry engagement, with 18 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
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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.
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