Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $4,980 | 227 | 85.3% |
| Travel and Lodging | $693.93 | 2 | 11.9% |
| Education | $164.99 | 2 | 2.8% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Axonics, Inc. | $1,324 | 16 | $0 (2024) |
| Endo Pharmaceuticals Inc. | $544.17 | 36 | $0 (2023) |
| Astellas Pharma US Inc | $499.62 | 20 | $0 (2024) |
| Medtronic, Inc. | $460.91 | 26 | $0 (2024) |
| PROGENICS PHARMACEUTICALS, INC. | $389.41 | 15 | $0 (2024) |
| Teleflex LLC | $355.82 | 12 | $0 (2024) |
| ABBVIE INC. | $352.96 | 16 | $0 (2024) |
| Sumitomo Pharma America, Inc. | $341.81 | 17 | $0 (2024) |
| ABC Home Medical Supply, Inc. | $188.81 | 12 | $0 (2024) |
| PFIZER INC. | $157.53 | 7 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $2,665 | 84 | Axonics, Inc. ($1,200) |
| 2023 | $1,473 | 65 | ABBVIE INC. ($187.99) |
| 2022 | $678.19 | 31 | Endo Pharmaceuticals Inc. ($116.12) |
| 2021 | $1,023 | 51 | Astellas Pharma US Inc ($331.38) |
All Payment Transactions
231 individual payment records from CMS Open Payments — Page 1 of 10
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/18/2024 | Endo USA, Inc. | AVEED (Biological), XIAFLEX | Food and Beverage | In-kind items and services | $29.77 | General |
| Category: UROLOGY | ||||||
| 12/12/2024 | Endo USA, Inc. | XIAFLEX (Biological), AVEED | Food and Beverage | In-kind items and services | $20.19 | General |
| Category: UROLOGY | ||||||
| 12/05/2024 | ABC Home Medical Supply, Inc. | — | Food and Beverage | In-kind items and services | $18.64 | General |
| 11/21/2024 | PROGENICS PHARMACEUTICALS, INC. | PYLARIFY (Drug) | Food and Beverage | In-kind items and services | $17.63 | General |
| Category: RADIOPHARMACEUTICAL | ||||||
| 11/20/2024 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $9.36 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 11/18/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $6.79 | General |
| Category: UROLOGY | ||||||
| 11/13/2024 | ABC Home Medical Supply, Inc. | — | Food and Beverage | In-kind items and services | $16.10 | General |
| 11/12/2024 | Bayer Healthcare Pharmaceuticals Inc. | Nubeqa (Drug), Xofigo | Food and Beverage | In-kind items and services | $21.14 | General |
| Category: Oncology | ||||||
| 11/07/2024 | Astellas Pharma US Inc | Xtandi (Drug) | Food and Beverage | In-kind items and services | $23.67 | General |
| Category: Oncology | ||||||
| 11/07/2024 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $10.21 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 10/31/2024 | 180 Medical, Inc. | GENTLECATH (Device) | Food and Beverage | In-kind items and services | $21.88 | General |
| Category: CONTINENCE CARE | ||||||
| 10/30/2024 | Astellas Pharma US Inc | Xtandi (Drug) | Food and Beverage | In-kind items and services | $18.47 | General |
| Category: Oncology | ||||||
| 10/23/2024 | PROGENICS PHARMACEUTICALS, INC. | PYLARIFY (Drug) | Food and Beverage | In-kind items and services | $19.94 | General |
| Category: RADIOPHARMACEUTICAL | ||||||
| 10/22/2024 | Tolmar, Inc. | ELIGARD (Drug), JATENZO | Food and Beverage | Cash or cash equivalent | $13.82 | General |
| Category: ONCOLOGY | ||||||
| 10/19/2024 | Axonics, Inc. | Bulkamid (Device), Axonics | Food and Beverage | In-kind items and services | $19.15 | General |
| Category: Urology | ||||||
| 10/10/2024 | Endo USA, Inc. | AVEED (Biological), XIAFLEX | Food and Beverage | In-kind items and services | $28.16 | General |
| Category: UROLOGY | ||||||
| 10/09/2024 | Merck Sharp & Dohme LLC | KEYTRUDA (Biological), WELIREG, LYNPARZA | Food and Beverage | In-kind items and services | $17.39 | General |
| Category: ONCOLOGY | ||||||
| 10/03/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $22.73 | General |
| Category: UROLOGY | ||||||
| 10/01/2024 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $33.61 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 09/27/2024 | ABC Home Medical Supply, Inc. | — | Food and Beverage | In-kind items and services | $16.80 | General |
| 09/26/2024 | ABBVIE INC. | BOTOX (Biological) | Food and Beverage | In-kind items and services | $26.68 | General |
| Category: BOTOX THERAPEUTIC | ||||||
| 09/26/2024 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $8.46 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 09/20/2024 | Sumitomo Pharma America, Inc. | GEMTESA (Drug) | Food and Beverage | In-kind items and services | $25.82 | General |
| Category: UROLOGY | ||||||
| 09/17/2024 | Bayer Healthcare Pharmaceuticals Inc. | Nubeqa (Drug), Xofigo | Food and Beverage | In-kind items and services | $23.82 | General |
| Category: Oncology | ||||||
| 09/04/2024 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $13.18 | General |
| Category: Sacral Nerve Stimulation | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 9 | 1,175 | 3,476 | $482,640 | $178,839 |
| 2022 | 12 | 1,153 | 3,644 | $524,818 | $194,467 |
| 2021 | 11 | 973 | 2,573 | $332,968 | $129,756 |
| 2020 | 11 | 510 | 1,063 | $131,391 | $56,443 |
All Medicare Procedures & Services
44 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 190 | 2,024 | $222,640 | $109,141 | 49.0% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 184 | 215 | $55,900 | $25,481 | 45.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 220 | 382 | $87,860 | $22,243 | 25.3% |
| 51710 | Complicated change of bladder tube | Office | 2023 | 25 | 93 | $27,900 | $8,184 | 29.3% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 96 | 110 | $36,850 | $7,453 | 20.2% |
| 76857 | Limited ultrasound scan of pelvis | Office | 2023 | 100 | 125 | $25,000 | $3,513 | 14.1% |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | Office | 2023 | 217 | 345 | $7,590 | $1,359 | 17.9% |
| 51741 | Electronic assessment of bladder emptying | Office | 2023 | 88 | 109 | $17,440 | $851.95 | 4.9% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2023 | 55 | 73 | $1,460 | $613.20 | 42.0% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 200 | 2,249 | $247,390 | $110,282 | 44.6% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 199 | 238 | $61,880 | $32,470 | 52.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 159 | 279 | $93,465 | $23,421 | 25.1% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 72 | 100 | $16,000 | $7,068 | 44.2% |
| 51710 | Complicated change of bladder tube | Office | 2022 | 19 | 62 | $18,600 | $5,681 | 30.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 72 | 99 | $22,770 | $5,261 | 23.1% |
| 76857 | Limited ultrasound scan of pelvis | Office | 2022 | 76 | 99 | $19,800 | $3,158 | 15.9% |
| 51710 | Complicated change of bladder tube | Facility | 2022 | 17 | 33 | $9,900 | $1,820 | 18.4% |
| 51703 | Complicated insertion of bladder tube | Facility | 2022 | 32 | 33 | $8,250 | $1,757 | 21.3% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 13 | 13 | $6,495 | $1,513 | 23.3% |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | Office | 2022 | 172 | 284 | $6,248 | $1,127 | 18.0% |
| 51741 | Electronic assessment of bladder emptying | Office | 2022 | 62 | 78 | $12,480 | $680.32 | 5.5% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2022 | 60 | 77 | $1,540 | $228.21 | 14.8% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 143 | 1,395 | $153,450 | $69,869 | 45.5% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 141 | 157 | $40,820 | $21,908 | 53.7% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 134 | 245 | $45,190 | $15,167 | 33.6% |
About Justin Birkner, NP-C
Justin Birkner, NP-C is a Nurse Practitioner healthcare provider based in Pasadena, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/27/2019. The National Provider Identifier (NPI) number assigned to this provider is 1164989075.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Justin Birkner, NP-C has received a total of $5,839 in payments from pharmaceutical and medical device companies, with $2,665 received in 2024. These payments were reported across 231 transactions from 28 companies. The most common payment nature is "Food and Beverage" ($4,980).
As a Medicare-enrolled provider, Birkner has provided services to 3,811 Medicare beneficiaries, totaling 10,756 services with total Medicare billing of $559,505. Data is available for 4 years (2020–2023), covering 44 distinct procedure/service records.
Practice Information
- Specialty Nurse Practitioner
- Location Pasadena, TX
- Active Since 02/27/2019
- Last Updated 02/27/2019
- Taxonomy Code 363L00000X
- Entity Type Individual
- NPI Number 1164989075
Products in Payments
- Axonics (Device) $1,237
- INTERSTIM (Device) $460.91
- PYLARIFY (Drug) $389.41
- XIAFLEX (Biological) $382.75
- GEMTESA (Drug) $379.48
- BOTOX (Biological) $338.53
- AVEED (Biological) $288.24
- UROLIFT (Device) $278.22
- XTANDI (Drug) $189.32
- MYRBETRIQ (Drug) $134.60
- ELIGARD (Drug) $125.32
- Nubeqa (Drug) $119.05
- Xtandi (Drug) $117.93
- GENTLECATH (Device) $106.79
- LUPRON DEPOT (Drug) $96.70
- ORGOVYX (Drug) $81.06
- UroLift System (Device) $77.60
- KEYTRUDA (Biological) $72.92
- Rezum Generator (Device) $69.60
- Axonics r-SNM System (Device) $68.16
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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