Urology · Lake Wales, FL
NPI
1871913905
Since 2014
Specialty
Urology
Code 208800000X
Group practices
3
Medicare group memberships
Hospitals
4
Hospital affiliations
407 S 11th St
Lake Wales, FL, 33853
Phone (863) 679-2707
Groups this clinician bills Medicare through
Medicare paid, 2024
$192K
2,422 services
Medicare patients, 2024
663
Average age 75
Drug cost, 2024
$381K
2,425 prescriptions
Company payments, 2025
$928
From 11 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by James E Pilkington was code 99213 (office e&m - established), 668 times for 450 patients. In total James E Pilkington billed 2,422 services in 83 codes, and Medicare paid $192K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2021-12-22.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99213 Office E&M - Established | Office | 668 | 450 | $62.83 | $42K |
| 99214 Office E&M - Established | Office | 296 | 225 | $94.52 | $28K |
| 81003 Clinical Chemistry | Office | 171 | 123 | $2.20 | $376 |
| 52000 Cystourethroscopy | Office | 167 | 142 | $164.87 | $28K |
| 51798 Ultrasound - Nonspecific | Office | 156 | 115 | $7.65 | $1,194 |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Office | 75 | 73 | $12.15 | $911 |
| 99204 Office E&M - New | Office | 66 | 66 | $117.50 | $7,755 |
| 99231 Hospital E&M - Subsequent | Facility | 60 | 33 | $38.08 | $2,285 |
| 51705 Other Organ Systems | Office | 46 | 12 | $68.54 | $3,153 |
| 99221 Hospital E&M - Initial | Facility | 44 | 39 | $61.06 | $2,687 |
| 99203 Office E&M - New | Office | 42 | 42 | $69.83 | $2,933 |
| 74420 Standard X-ray | Facility | 39 | 33 | $18.26 | $712 |
| 76872 Ultrasound - Nonspecific | Facility | 36 | 34 | $24.18 | $871 |
| 55700 Other Organ Systems | Facility | 32 | 32 | $99.50 | $3,184 |
| 51741 Test - Miscellaneous | Office | 28 | 28 | $6.21 | $174 |
By year: 2022 $214K for 6,719 services; 2023 $177K for 2,779 services; 2024 $192K for 2,422 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 81003 Clinical Chemistry | 171 | 123 | $2.20 | $376 |
Medicare prescription drug claims, 2024
In 2024, the drug James E Pilkington prescribed most often to Medicare patients was Tamsulosin Hcl, with 536 prescriptions and refills. In total James E Pilkington wrote 2,425 Medicare prescriptions that cost $381K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Tamsulosin Hcl Generic | 536 | 1,277 | 196 | $6,211 |
| Finasteride Generic | 345 | 900 | 120 | $4,463 |
| Cephalexin Generic | 279 | 345 | 229 | $1,633 |
| Tramadol Hcl Generic | 174 | 174 | 158 | $276 |
| Myrbetriq Mirabegron | 118 | 192 | 38 | $85K |
| Oxybutynin Chloride Er Oxybutynin Chloride | 95 | 214 | 36 | $2,092 |
| Solifenacin Succinate Generic | 90 | 171 | 30 | $2,707 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 76 | 83 | 68 | $470 |
| Levofloxacin Generic | 51 | 51 | 49 | $339 |
| Bicalutamide Generic | 50 | 82 | 31 | $2,089 |
| Estradiol Generic | 46 | 117 | 30 | $3,815 |
| Tadalafil Generic | 43 | 72 | 11 | $6,322 |
| Testosterone Cypionate Generic | 41 | 62 | 17 | $1,891 |
| Potassium Citrate Er Potassium Citrate | 35 | 86 | 13 | $2,293 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 35 | 35 | 28 | $388 |
Brand drugs: - claims; generic drugs: 2,181 claims; opioid claims: 209.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid James E Pilkington $928 ($928 in general payments such as food, travel and fees) from 11 companies. The largest payer was Procept Biorobotics Corporation with $218.
| Company | Payments | Amount |
|---|---|---|
| Procept Biorobotics Corporation PRCT | 4 | $218 |
| Teleflex LLC TFX | 1 | $168 |
| Calyxo, Inc. | 1 | $106 |
| Medtronic, Inc. MDT | 1 | $102 |
| Seagen Inc. PFE | 1 | $84.99 |
| Myriad Genetic Laboratories, Inc. MYGN | 3 | $80.31 |
| Astellas Pharma US Inc 4503.T | 1 | $68 |
| Sumitomo Pharma America, Inc. 4506.T | 2 | $40.36 |
| Pfizer Inc. PFE | 1 | $25.87 |
| MIMEDX Group, Inc. MDXG | 1 | $19.59 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.