Medicare Enrolled
Dr. David Vance, M.D.
Urology Physician · Richland, WA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Vance 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. Vance
Dr. David Vance is an urology physician in Richland, WA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Vance performed 3,445 Medicare services across 2,450 unique beneficiaries.
Between the years covered by Open Payments, Dr. Vance received a total of $5,375 from 32 pharmaceutical and/or device companies across 86 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. Vance 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 in practice
▲ Top 17% volume in WA
$5,375 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,445
Medicare services
Top 17% in WA for urology physician
2,450
Unique beneficiaries
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~181 Medicare services per year of practice
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 |
|---|---|---|---|
| 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. |
972 | $88 | $168 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
606 | $4 | $12 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
433 | $7 | $37 |
| 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. |
413 | $58 | $121 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
199 | $177 | $331 |
| 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. |
188 | $102 | $240 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 81 | $129 | $300 |
| Simple change of bladder tube | 74 | $68 | $221 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
63 | $13 | $40 |
| 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. |
34 | $207 | $388 |
| 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. |
34 | $16 | $81 |
| 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. |
34 | $114 | $250 |
| Endoscopic removal of foreign body, stone, or stent from urethra or bladder A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item. |
33 | $246 | $433 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
33 | $301 | $1,000 |
| 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. |
32 | $39 | $143 |
| Insertion of temporary bladder tube | 30 | $30 | $135 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
30 | $107 | $239 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
29 | $175 | $344 |
| Bladder irrigation and/or instillation This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder. |
24 | $53 | $167 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
23 | $126 | $677 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
22 | $3 | $18 |
| Cystoscopy with chemical ablation of bladder A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue. |
20 | $125 | $500 |
| 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. |
15 | $543 | $1,550 |
| 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. |
12 | $124 | $212 |
| 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. |
11 | $62 | $155 |
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. A higher procedure volume generally indicates more experience with that procedure.
3.2% high complexity
14.3% medium
82.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,375
Total received (2018-2024)
Avg $768/year across 7 years
Top 23% in WA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
86
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,254 (79.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,121 (20.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,550
2023
$522
2022
$1,144
2021
$139
2020
$70
2019
$404
2018
$545
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$2,216
Bayer Healthcare Pharmaceuticals Inc.
$112
PROGENICS PHARMACEUTICALS, INC.
$49
Boston Scientific Corporation
$33
Endo USA, Inc.
$29
Olympus America Inc.
$24
Sumitomo Pharma America, Inc.
$20
Laborie Medical Technologies Corp.
$18
Myriad Genetic Laboratories, Inc.
$18
IMMUNITYBIO, INC.
$17
UROGEN PHARMA, INC.
$14
Top 3 companies account for 93.2% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,216
Olympus America Inc.
$967
Intuitive Surgical, Inc.
$550
Astellas Pharma US Inc
$338
Bayer Healthcare Pharmaceuticals Inc.
$189
180 Medical, Inc.
$157
Myriad Genetic Laboratories, Inc.
$67
Boston Scientific Corporation
$63
Myovant Sciences Inc.
$59
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$53
Bayer HealthCare Pharmaceuticals Inc.
$50
PROGENICS PHARMACEUTICALS, INC.
$49
Ethicon US, LLC
$48
C. R. BARD, INC. & SUBSIDIARIES
$48
BAXTER HEALTHCARE
$47
Laborie Medical Technologies Corp.
$45
Sumitomo Pharma America, Inc.
$39
Endo Pharmaceuticals Inc.
$39
ConvaTec Inc.
$38
Rochester Medical Corporation
$34
AbbVie, Inc.
$32
Allergan Inc.
$31
Endo USA, Inc.
$29
PFIZER INC.
$28
ABBVIE INC.
$27
Janssen Biotech, Inc.
$24
Allergan, Inc.
$23
UROVANT SCIENCES INC
$19
Hollister Incorporated
$18
IMMUNITYBIO, INC.
$17
Ambu Inc.
$15
UROGEN PHARMA, INC.
$14
Top 3 companies account for 69.5% of all-time payments
Associated products mentioned in payments ›
4K CAMERA HEAD · ANKTIVA · AVEED · AVEIR · BOTOX · BOTOX THERAPEUTIC · CYSTO-NEPHRO VIDEOSCOPE · Da Vinci Surgical System · ENSITE PRECISION · ERLEADA · ETHICON · GEMTESA · GENTLECATH · HD CAMERA HEAD · JELMYTO · LUPRON DEPOT · LifeVest · LithoVue · Lupron · MAGIC3 · MYRBETRIQ · Myrbetriq · Neuwave · Nubeqa · ORGOVYX · Olympus Cysto-Resection · Optilume BPH Drug Coated Balloon Catheter · PROLARIS · PYLARIFY · Prolaris · Rezum Generator · TISSEEL · TOVIAZ · VaPro · XIAFLEX · XTANDI · Xofigo · Xtandi · iTIND System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (79%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Urology physicians within 10 mi
7
Per 100K population
3.3
County median income
$87,316
Nearest hospital
KADLEC REGIONAL MEDICAL CENTER
0.0 mi
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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Vance is a clinical cardiology specialist, with above-average Medicare volume (top 17% in WA), with low-engagement industry engagement, 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. Vance experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Vance performed 972 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Vance receive payments from pharmaceutical companies?
Yes. Dr. Vance received a total of $5,375 from 32 companies across 86 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Vance's costs compare to other urology physicians in Richland?
Dr. Vance's average Medicare payment per service is $70. 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. Vance) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
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. 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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