Physician

Sophie Fletcher, MD

According to 2025 Medicare claims, Sophie Fletcher, MD (NPI: 1093924714) practices urology in the Santa Rosa-Petaluma, CA market, with the plurality of this provider's patient population coming from Sonoma, CA. This provider's primary affiliated billing organization is SUTTER BAY MEDICAL FOUNDATION (NPI: 1003267196; TIN: 941156581) and primary practice location at 95403-1436. Fletcher is affiliated with the Sutter Medicare Direct (ACO ID: A5279), participating under the MSSP model.

Fletcher's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 568 traditional Medicare patients, billed 26,094 HCPCS/CPT codes, and received $403,553 in Medicare payments. The top billing code was 51729 (Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies). Part D data shows 1,337 prescription claims across 416 beneficiaries totaling $525,919 in drug costs, led by Gemtesa (Vibegron). DME data shows 232 claims. Open Payments data shows 8 records totaling $629. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $14,802 to $403,553. Similarly, Part D prescription costs have moved sharply higher in recent years, from $122,038 to $525,919. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $327 to $425.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	87	170	$14,802
2016	493	3,767	$199,794
2017	651	10,532	$308,094
2018	699	12,070	$340,085
2019	753	14,238	$356,783
2020	773	15,588	$367,488
2021	708	15,175	$338,579
2022	453	19,165	$275,449
2023	587	28,804	$421,236
2024	568	26,094	$403,553

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	344	829	$122,038
2016	270	623	$70,560
2017	315	873	$108,828
2018	307	889	$140,271
2019	356	1,295	$250,563
2020	297	1,124	$260,521
2021	326	1,055	$295,158
2022	329	1,097	$366,974
2023	382	1,227	$439,505
2024	416	1,337	$525,919

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	76	$18,133
2017	N/R	148	$43,786
2018	14	163	$40,083
2019	43	220	$39,997
2020	52	263	$45,696
2021	34	242	$26,314
2022	28	255	$30,392
2023	20	263	$67,740
2024	20	232	$79,004

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
51729	Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	121	123	$341
51797	Insertion of device into abdomen with pressure and urine flow rate study	119	121	$177
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	286	$104
51784	Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	132	134	$31
51798	Ultrasound measurement of bladder capacity after voiding	139	163	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gemtesa	Vibegron	492	21,871	$341,673
Myrbetriq	Mirabegron	206	10,214	$148,777
Mirabegron Er	Mirabegron	22	1,110	$9,783
Estradiol	Estradiol	119	14,753	$6,652
Trospium Chloride	Trospium Chloride	91	4,095	$4,536

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	20	134	$31,390
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	23	$23,488
A4353	Intermittent urinary catheter, with insertion supplies	N	N/R	11	$22,710
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	33	$707
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	19	$488

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$629	Medtronic, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Sophie Fletcher, MD?

Tedicare shows public-source Medicare data for Sophie Fletcher, MD (NPI 1093924714), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Sophie Fletcher, MD have ACO affiliation data?

Sophie Fletcher, MD is shown with ACO affiliation data for Sutter Medicare Direct (MSSP, ACO ID A5279).

What billing organization is linked to Sophie Fletcher, MD?

Sophie Fletcher, MD is linked to SUTTER BAY MEDICAL FOUNDATION (billing NPI 1003267196) in the available physician profile data.

Does Sophie Fletcher, MD have Open Payments data?

Sophie Fletcher, MD has 8 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.