Physician

Vijay Paul Pinto, M.D.

According to 2025 Medicare claims, Vijay Pinto, M.D. (NPI: 1811002371) practices urology in the Sumter, SC market, with the plurality of this provider's patient population coming from Sumter, SC. This provider's primary affiliated billing organization is UROLOGY CLINIC, INC. (NPI: 1912368457; TIN: 811762230) and primary practice location at 29150-1804. Pinto is affiliated with the Mission Health Partners, LLC (ACO ID: A2591), participating under the MSSP model.

Pinto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,273 traditional Medicare patients, billed 102,697 HCPCS/CPT codes, and received $1,069,832 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 3,527 prescription claims across 1,069 beneficiaries totaling $980,327 in drug costs, led by Xtandi (Enzalutamide). DME data shows 116 claims. Open Payments data shows 24 records totaling $597. 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 moved from a lower plateau to a higher plateau, from $495,297 to $1,069,832. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $259,434 to $980,327. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $1,098 to $400.