Medicare Enrolled
Dr. John Case, M.D.
Urology Physician · San Antonio, 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. Case 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. Case
Dr. John Case is an urology physician in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Case performed 6,557 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Case received a total of $2,877 from 31 pharmaceutical and/or device companies across 159 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. Case 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 16% volume in TX
$2,877 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,557
Medicare services
Top 16% in TX for urology physician
Not available
Unique patients (not deduplicated)
$54
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 |
|---|---|---|---|
| Infectious disease DNA/RNA test A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism. |
1,009 | $34 | $78 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
796 | $3 | $15 |
| 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. |
671 | $40 | $80 |
| PSA test (prostate cancer screening) | 636 | $18 | $110 |
| 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. |
531 | $84 | $215 |
| 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. |
376 | $59 | $150 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
356 | $7 | $95 |
| 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. |
353 | $25 | $150 |
| Red blood cell concentration measurement A laboratory test that measures the concentration of red blood cells in the blood. |
304 | $2 | $8 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
304 | $2 | $8 |
| Hormone pellet insertion under the skin A small hormone pellet is placed just beneath the skin to release medication slowly over time. |
138 | $62 | $250 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
137 | $943 | $1,238 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
106 | $8 | $10 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
99 | $168 | $490 |
| Yeast/candida DNA test A laboratory test that uses an amplified probe technique to detect the presence of Candida species, a type of yeast, in a patient sample. |
83 | $34 | $78 |
| Staphylococcus aureus DNA test A laboratory test that uses DNA amplification to detect the presence of Staphylococcus aureus bacteria in a sample. |
83 | $34 | $78 |
| Group B Strep DNA test A laboratory test that uses DNA amplification to detect the presence of Group B Streptococcus bacteria. |
83 | $34 | $78 |
| 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. |
78 | $104 | $313 |
| 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. |
70 | $74 | $210 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
51 | $8 | $45 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
42 | $7 | $25 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
36 | $18 | $150 |
| Tumor marker analysis A laboratory test that analyzes a sample to detect the presence of tumor markers. These markers are substances that may be found in the blood, urine, or body tissues. |
36 | $20 | $115 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
27 | $5 | $20 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
26 | $4 | $20 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
23 | $255 | $700 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
22 | $100 | $275 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
18 | $38 | $90 |
| Prostate needle biopsy pathology exam Laboratory examination of prostate tissue samples obtained via needle biopsy. The pathologist inspects the tissue both visually and under a microscope to identify any abnormalities. |
15 | $125 | $732 |
| Bladder/urethra growth removal via endoscope, 0.5-2.0 cm This procedure uses an endoscope to destroy or remove a growth from the bladder or urethra that measures between 0.5 and 2.0 centimeters. |
12 | $136 | $1,150 |
| Laser vaporization of prostate A procedure that uses a laser to remove excess prostate tissue through an endoscope. The process includes controlling any bleeding that occurs during the treatment. |
12 | $525 | $2,875 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
12 | $95 | $350 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
12 | $25 | $285 |
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 ↗$2,877
Total received (2018-2024)
Avg $411/year across 7 years
Bottom 47% in TX for urology physician
31
Companies
159
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
$530
2023
$411
2022
$357
2021
$153
2020
$79
2019
$422
2018
$926
Payments by company (2024)
Sumitomo Pharma America, Inc.
$91
Novartis Pharmaceuticals Corporation
$87
Janssen Biotech, Inc.
$71
Blue Earth Diagnostics Limited
$43
Medtronic, Inc.
$40
Boston Scientific Corporation
$38
Myriad Genetic Laboratories, Inc.
$34
UROGEN PHARMA, INC.
$32
PFIZER INC.
$30
AstraZeneca Pharmaceuticals LP
$26
Tolmar, Inc.
$20
Astellas Pharma US Inc
$20
Top 3 companies account for 46.8% of 2024 payments
All-time payments by company (2018-2024) ›
Endo Pharmaceuticals Inc.
$382
Janssen Biotech, Inc.
$300
Astellas Pharma US Inc
$271
Sumitomo Pharma America, Inc.
$242
Blue Earth Diagnostics Limited
$201
PFIZER INC.
$137
Myovant Sciences Inc.
$128
AbbVie, Inc.
$116
Novartis Pharmaceuticals Corporation
$113
Dendreon Pharmaceuticals LLC
$96
Amgen Inc.
$95
UroGPO LLC
$88
TOLMAR Pharmaceuticals, Inc.
$85
Aytu BioScience, Inc
$76
Bayer HealthCare Pharmaceuticals Inc.
$65
Boston Scientific Corporation
$52
UroGen Pharma, Inc.
$50
Antares Pharma, Inc.
$49
Avadel Specialty Pharmaceuticals, LLC
$43
Medtronic, Inc.
$40
Myriad Genetic Laboratories, Inc.
$34
UROGEN PHARMA, INC.
$32
Allergan Inc.
$29
AstraZeneca Pharmaceuticals LP
$26
ABBVIE INC.
$21
Retrophin, Inc.
$21
Duchesnay USA Incorporated
$20
UROVANT SCIENCES INC
$20
Tolmar, Inc.
$20
Egalet US Inc
$13
Acerus Pharmaceuticals Corporation
$12
Top 3 companies account for 33.1% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · AVEED · Androgel · Axumin · BOTOX · BOTOX THERAPEUTIC · DARZALEX · ELIGARD · ERLEADA · Erleada · GEMTESA · INTERSTIM · JELMYTO · LYNPARZA · LithoVue Empower · Lumenis Pulse 120H · Lupron · Lupron Depot · MYRBETRIQ · Myrbetriq · NURO · Natesto · Noctiva · Nubeqa · ORGOVYX · Osphena · Otrexup · PLUVICTO · POSLUMA · PREMARIN · PROLARIS · PROVENGE · Prolia · SPRIX · SUTENT · TOVIAZ · Tria Firm · Veozah · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · ZYTIGA
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
100
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SOUTH TEXAS SPINE AND SURGICAL 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. Case is a clinical cardiology specialist, with above-average Medicare volume (top 16% 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. Case experienced with infectious disease dna/rna test?
Based on Medicare claims data, Dr. Case performed 1,009 infectious disease dna/rna test 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. Case receive payments from pharmaceutical companies?
Yes. Dr. Case received a total of $2,877 from 31 companies across 159 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. Case's costs compare to other urology physicians in San Antonio?
Dr. Case's average Medicare payment per service is $54. 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. Case) 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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