Medicare Enrolled

Dr. Robert Ryan, MD

Urology Physician · Seguin, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
1339 E COURT STREET, Seguin, TX 78155
8303798491
Registered in NPPES since 2006
NPI: 1780764258 verify on NPPES ↗
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. Ryan 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. Ryan

Dr. Robert Ryan is an urology physician in Seguin, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Ryan performed 35,082 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Ryan received a total of $1,826 from 14 pharmaceutical and/or device companies across 77 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. Ryan 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.

✓ 19 years of NPI registration ▲ Top 2% volume in TX $1,826 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
35,082
Medicare services
Top 2% in TX for urology physician
Not available
Unique patients (not deduplicated)
$5
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
Testosterone injection
An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams.
32,000 $0 $1
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.
609 $66 $214
Manual urinalysis with microscopic examination
A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities.
550 $4 $14
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.
437 $84 $303
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
268 $3 $11
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.
236 $10 $60
Leuprolide acetate (for depot suspension), 7.5 mg 224 $134 $1,261
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
171 $42 $134
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
133 $8 $50
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
98 $156 $550
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.
91 $82 $265
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.
50 $22 $80
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.
48 $102 $395
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.
38 $2 $8
Transrectal ultrasound of the pelvis
An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures.
35 $52 $325
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.
30 $42 $204
Prostate gland biopsy
A procedure to remove small samples of tissue from the prostate gland for laboratory examination.
21 $95 $496
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
16 $16 $52
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
14 $56 $174
Transurethral prostate removal with electrocautery
This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding.
13 $556 $1,715
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 ↗
$1,826
Total received (2018-2024)
Avg $261/year across 7 years
Bottom 37% in TX for urology physician
14
Companies
77
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
$442
2023
$502
2022
$387
2021
$160
2020
$47
2019
$147
2018
$140

Payments by company (2024)

Cook Medical LLC
$154
Sumitomo Pharma America, Inc.
$94
Boston Scientific Corporation
$66
Medtronic, Inc.
$61
180 Medical, Inc.
$29
ABBVIE INC.
$21
PFIZER INC.
$18
Top 3 companies account for 70.9% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$466
Sumitomo Pharma America, Inc.
$225
UROVANT SCIENCES INC
$219
Cook Medical LLC
$213
PFIZER INC.
$175
Myovant Sciences Inc.
$139
Boston Scientific Corporation
$66
AbbVie Inc.
$62
Medtronic, Inc.
$61
180 Medical, Inc.
$57
Synergy Pharmaceuticals Inc
$55
Coloplast Corp
$42
C. R. Bard, Inc. & Subsidiaries
$26
ABBVIE INC.
$21
Top 3 companies account for 49.8% of all-time payments
Associated products mentioned in payments ›
Advantage System · BOTOX · COOK · Cook Medical Stents · FIBER DUST · GEMTESA · INTERSTIM · LITHO 150 · LUPRON DEPOT · MYRBETRIQ · Myrbetriq · ORGOVYX · RESONANCE · SpeediCath · Trulance · Veozah · XTANDI
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 →
Looking for an urology physician in Seguin?
Compare urology physicians in the Seguin area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology physicians in nearby ZIP areas
8
County median income
$93,776
Nearest hospital to ZIP centroid (approximate)
GUADALUPE REGIONAL MEDICAL CENTER
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. Ryan is a mixed practice specialist, with above-average Medicare volume (top 2% in TX), with 19 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. Ryan experienced with testosterone injection?
Based on Medicare claims data, Dr. Ryan performed 32,000 testosterone injection 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. Ryan receive payments from pharmaceutical companies?
Yes. Dr. Ryan received a total of $1,826 from 14 companies across 77 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. Ryan's costs compare to other urology physicians in Seguin?
Dr. Ryan's average Medicare payment per service is $5. 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. Ryan) 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 →
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

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →