Physician

Paul J Russinko, M.D.

According to 2025 Medicare claims, Paul Russinko, M.D. (NPI: 1720041981) practices urology in the Lancaster, PA market, with the plurality of this provider's patient population coming from Lancaster, PA. This provider's primary affiliated billing organization is THE CENTERS FOR ADVANCED UROLOGY, LLP (NPI: 1295565356; TIN: 474352018) and primary practice location at 17604-3200. Russinko is affiliated with the Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019), participating under the MSSP model.

Russinko's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,084 traditional Medicare patients, billed 30,834 HCPCS/CPT codes, and received $582,667 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,165 prescription claims across 619 beneficiaries totaling $274,860 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 38 claims. Open Payments data shows 27 records totaling $509. 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 $189,264 to $582,667. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $800 and ending at $260.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$291K$583K2015 Medicare payment: $189,264 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $190,276 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $272,603 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $227,426 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $231,968 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $161,657 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $289,218 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $324,359 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $339,301 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $582,667 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158376,955$189,264
20168327,936$190,276
20177807,299$272,603
20188089,572$227,426
20198589,063$231,968
202070113,523$161,657
202192016,436$289,218
20221,22515,412$324,359
20231,39617,012$339,301
20242,08430,834$582,667

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$137K$275K2015 Drug cost: $196,280 (USD; Tot_Drug_Cst)2016 Drug cost: $206,367 (USD; Tot_Drug_Cst)2017 Drug cost: $188,798 (USD; Tot_Drug_Cst)2018 Drug cost: $235,311 (USD; Tot_Drug_Cst)2019 Drug cost: $257,427 (USD; Tot_Drug_Cst)2020 Drug cost: $215,562 (USD; Tot_Drug_Cst)2021 Drug cost: $203,033 (USD; Tot_Drug_Cst)2022 Drug cost: $242,609 (USD; Tot_Drug_Cst)2023 Drug cost: $256,931 (USD; Tot_Drug_Cst)2024 Drug cost: $274,860 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154741,822$196,280
20165001,802$206,367
20174981,780$188,798
20185091,827$235,311
20195422,190$257,427
20205242,113$215,562
20215602,017$203,033
20225602,116$242,609
20235752,115$256,931
20246192,165$274,860

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$16K$31K2015 Medicare payment: $12,211 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $7,565 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $7,842 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $23,153 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $30,142 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $21,301 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $15,127 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $25,347 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $30,356 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $31,234 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R104$12,211
2016N/R43$7,565
2017N/R54$7,842
2018N/R29$23,153
2019N/R42$30,142
2020N/R117$21,301
202149171$15,127
202298175$25,347
2023N/R47$30,356
2024N/R38$31,234

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1,0171,292$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more8531,054$56
G2211Visit 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's7711,021$12
81001Manual urinalysis test with examination using microscope, automated697783$3
81003Automated urinalysis test600708$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron1539,657$139,403
OrgovyxRelugolix17510$43,799
GemtesaVibegron402,170$34,385
Alfuzosin Hcl ErAlfuzosin Hcl35126,012$8,302
DutasterideDutasteride12610,114$5,918

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachNN/R18$27,014
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R20$4,220

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.27$509UROGEN PHARMA, INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Paul J. Russinko, M.D.?

Tedicare shows public-source Medicare data for Paul J. Russinko, M.D. (NPI 1720041981), 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 Paul J. Russinko, M.D. have ACO affiliation data?

Paul J. Russinko, M.D. is shown with ACO affiliation data for Lancaster General Health Community Care Collaborative, LLC (MSSP, ACO ID A2019).

What billing organization is linked to Paul J. Russinko, M.D.?

Paul J. Russinko, M.D. is linked to THE CENTERS FOR ADVANCED UROLOGY, LLP (billing NPI 1295565356) in the available physician profile data.

Does Paul J. Russinko, M.D. have Open Payments data?

Paul J. Russinko, M.D. has 27 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.