Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Education | $15,711 | 20 | 51.4% |
| Food and Beverage | $10,939 | 282 | 35.8% |
| Travel and Lodging | $2,628 | 11 | 8.6% |
| Gift | $935.91 | 4 | 3.1% |
| Consulting Fee | $350.00 | 1 | 1.1% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| COLOPLAST CORP | $23,509 | 123 | $0 (2024) |
| INTUITIVE SURGICAL, INC. | $2,673 | 43 | $0 (2024) |
| NxThera, Inc. | $1,166 | 6 | $0 (2017) |
| Boston Scientific Corporation | $548.66 | 17 | $0 (2024) |
| Astellas Pharma US Inc | $363.99 | 23 | $0 (2024) |
| Endo Pharmaceuticals Inc. | $208.52 | 11 | $0 (2024) |
| Myovant Sciences Inc. | $149.60 | 3 | $0 (2022) |
| PFIZER INC. | $147.54 | 8 | $0 (2024) |
| Teleflex LLC | $138.51 | 5 | $0 (2024) |
| Caldera Medical, Inc | $132.84 | 2 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1,742 | 47 | COLOPLAST CORP ($828.66) |
| 2023 | $687.72 | 24 | Coloplast Corp ($176.49) |
| 2022 | $1,050 | 30 | Coloplast Corp ($287.23) |
| 2021 | $1,625 | 25 | COLOPLAST CORP ($1,151) |
| 2020 | $2,988 | 26 | Coloplast Corp ($2,500) |
| 2019 | $13,628 | 62 | Coloplast Corp ($12,759) |
| 2018 | $5,126 | 46 | Coloplast Corp ($4,289) |
| 2017 | $3,718 | 58 | Coloplast Corp ($1,518) |
All Payment Transactions
318 individual payment records from CMS Open Payments — Page 1 of 13
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/18/2024 | COLOPLAST CORP | Restorelle (Device) | Food and Beverage | In-kind items and services | $19.28 | General |
| Category: Women's Health | ||||||
| 11/07/2024 | Myriad Genetic Laboratories, Inc. | PROLARIS (Device) | Food and Beverage | In-kind items and services | $31.49 | General |
| Category: ONCOLOGY | ||||||
| 11/05/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $102.97 | General |
| Category: SURGERY | ||||||
| 10/29/2024 | COLOPLAST CORP | — | Food and Beverage | In-kind items and services | $149.99 | General |
| 10/29/2024 | COLOPLAST CORP | Titan (Device) | Food and Beverage | In-kind items and services | $149.85 | General |
| Category: Men's Health | ||||||
| 10/23/2024 | UROGEN PHARMA, INC. | JELMYTO (Drug) | Food and Beverage | In-kind items and services | $28.59 | General |
| Category: UROTHELIAL CANCER | ||||||
| 10/22/2024 | Sumitomo Pharma America, Inc. | ORGOVYX (Drug) | Food and Beverage | In-kind items and services | $26.04 | General |
| Category: HORMONE THERAPY | ||||||
| 10/16/2024 | COLOPLAST CORP | Titan (Device) | Food and Beverage | In-kind items and services | $4.94 | General |
| Category: Men's Health | ||||||
| 10/14/2024 | COLOPLAST CORP | Coloplast TFL Drive (Device) | Food and Beverage | In-kind items and services | $10.66 | General |
| Category: Endourology | ||||||
| 10/08/2024 | Janssen Biotech, Inc. | ERLEADA (Drug) | Food and Beverage | In-kind items and services | $26.78 | General |
| Category: Oncology | ||||||
| 09/18/2024 | COLOPLAST CORP | Titan (Device) | Food and Beverage | In-kind items and services | $10.91 | General |
| Category: Men's Health | ||||||
| 08/29/2024 | ABBVIE INC. | LUPRON DEPOT (Drug) | Food and Beverage | In-kind items and services | $19.41 | General |
| Category: ENDOCRINOLOGY | ||||||
| 07/30/2024 | Innovation Technologies Inc | IRRISEPT (Device) | Food and Beverage | In-kind items and services | $13.80 | General |
| Category: JET LAVAGE DEVICE WITH CHG | ||||||
| 07/25/2024 | Medtronic, Inc. | INTERSTIM (Device) | Food and Beverage | In-kind items and services | $21.23 | General |
| Category: Sacral Nerve Stimulation | ||||||
| 07/18/2024 | COLOPLAST CORP | Titan (Device) | Food and Beverage | In-kind items and services | $112.00 | General |
| Category: Men's Health | ||||||
| 07/09/2024 | Ferring Pharmaceuticals Inc. | ADSTILADRIN (Biological) | Food and Beverage | In-kind items and services | $16.99 | General |
| Category: ONCOLOGY | ||||||
| 06/12/2024 | COLOPLAST CORP | Luja Coude (Device) | Food and Beverage | In-kind items and services | $20.77 | General |
| Category: Continence Care | ||||||
| 06/12/2024 | COLOPLAST CORP | Luja Coude (Device) | Food and Beverage | In-kind items and services | $2.83 | General |
| Category: Continence Care | ||||||
| 06/09/2024 | PFIZER INC. | XTANDI (Drug), ORGOVYX, TALZENNA | Food and Beverage | In-kind items and services | $15.24 | General |
| Category: ONCOLOGY | ||||||
| 05/22/2024 | COLOPLAST CORP | Titan (Device) | Food and Beverage | In-kind items and services | $150.32 | General |
| Category: Men's Health | ||||||
| 05/15/2024 | COLOPLAST CORP | Titan (Device) | Food and Beverage | In-kind items and services | $6.70 | General |
| Category: Men's Health | ||||||
| 05/08/2024 | COLOPLAST CORP | Titan (Device) | Food and Beverage | In-kind items and services | $6.52 | General |
| Category: Men's Health | ||||||
| 05/07/2024 | INTUITIVE SURGICAL, INC. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $84.62 | General |
| Category: SURGERY | ||||||
| 05/01/2024 | Axonics, Inc. | Bulkamid (Device) | Food and Beverage | In-kind items and services | $22.63 | General |
| Category: Urology | ||||||
| 04/12/2024 | Ambu Inc. | — | Food and Beverage | Cash or cash equivalent | $16.78 | General |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 13 | 1,220 | 1,515 | $480,658 | $102,504 |
| 2022 | 13 | 1,361 | 1,710 | $443,974 | $100,236 |
| 2021 | 17 | 1,279 | 1,595 | $444,135 | $107,705 |
| 2020 | 18 | 1,299 | 1,697 | $484,842 | $112,740 |
All Medicare Procedures & Services
61 procedure records from CMS Medicare Utilization — Page 1 of 3
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 354 | 412 | $81,833 | $27,366 | 33.4% |
| 57425 | Surgical repair of vaginal defect using an endoscope | Facility | 2023 | 34 | 34 | $93,367 | $26,479 | 28.4% |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | Office | 2023 | 19 | 153 | $157,284 | $20,061 | 12.8% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 93 | 93 | $35,229 | $11,205 | 31.8% |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | Facility | 2023 | 72 | 79 | $49,862 | $4,588 | 9.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 46 | 48 | $13,554 | $4,482 | 33.1% |
| 76770 | Complete ultrasound scan behind abdominal cavity | Office | 2023 | 35 | 36 | $9,180 | $2,066 | 22.5% |
| 55700 | Biopsy of prostate gland | Facility | 2023 | 18 | 18 | $12,524 | $1,866 | 14.9% |
| 96402 | Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle | Office | 2023 | 21 | 60 | $8,580 | $1,645 | 19.2% |
| 51798 | Ultrasound measurement of bladder capacity after voiding | Office | 2023 | 153 | 161 | $10,884 | $1,273 | 11.7% |
| 81003 | Automated urinalysis test | Office | 2023 | 344 | 390 | $4,680 | $854.74 | 18.3% |
| 76942 | Ultrasonic guidance for needle placement | Facility | 2023 | 18 | 18 | $1,422 | $440.64 | 31.0% |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | Facility | 2023 | 13 | 13 | $2,259 | $177.84 | 7.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 409 | 478 | $77,705 | $28,591 | 36.8% |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | Office | 2022 | 22 | 158 | $162,424 | $20,787 | 12.8% |
| 57425 | Surgical repair of vaginal defect using an endoscope | Facility | 2022 | 26 | 26 | $65,326 | $20,387 | 31.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 74 | 74 | $25,394 | $8,797 | 34.6% |
| 57288 | Creation of sling around urethra in female to control leakage | Facility | 2022 | 13 | 13 | $27,142 | $5,765 | 21.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 48 | 50 | $11,630 | $4,851 | 41.7% |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | Facility | 2022 | 72 | 81 | $38,956 | $4,617 | 11.9% |
| 96402 | Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle | Office | 2022 | 27 | 70 | $9,881 | $1,865 | 18.9% |
| 51798 | Ultrasound measurement of bladder capacity after voiding | Office | 2022 | 196 | 218 | $10,800 | $1,595 | 14.8% |
| 76770 | Complete ultrasound scan behind abdominal cavity | Office | 2022 | 23 | 23 | $5,282 | $1,345 | 25.5% |
| 81003 | Automated urinalysis test | Office | 2022 | 425 | 493 | $5,272 | $1,093 | 20.7% |
| 51797 | Insertion of device into abdomen with pressure and urine flow rate study | Facility | 2022 | 12 | 12 | $1,968 | $350.11 | 17.8% |
About Dr. Nikolas Symbas, MD
Dr. Nikolas Symbas, MD is a Urology healthcare provider based in Marietta, Georgia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/01/2006. The National Provider Identifier (NPI) number assigned to this provider is 1982781787.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nikolas Symbas, MD has received a total of $30,564 in payments from pharmaceutical and medical device companies, with $1,742 received in 2024. These payments were reported across 318 transactions from 47 companies. The most common payment nature is "Education" ($15,711).
As a Medicare-enrolled provider, Symbas has provided services to 5,159 Medicare beneficiaries, totaling 6,517 services with total Medicare billing of $423,184. Data is available for 4 years (2020–2023), covering 61 distinct procedure/service records.
Practice Information
- Specialty Urology
- Location Marietta, GA
- Active Since 11/01/2006
- Last Updated 10/10/2019
- Taxonomy Code 208800000X
- Entity Type Individual
- NPI Number 1982781787
Products in Payments
- VIRTUE (Device) $12,536
- TITAN (Device) $7,339
- Da Vinci Surgical System (Device) $2,673
- Titan (Device) $1,901
- Rezum (Device) $1,166
- PENILE RECONSTRUCTION (Device) $565.64
- XTANDI (Drug) $334.37
- MALE INCONTINENCE (Device) $262.74
- ORGOVYX (Drug) $224.79
- FEMALE INCONTINENCE (Device) $194.38
- Virtue (Device) $161.02
- AMS 700 CXR RTE Kit (Device) $145.01
- UROLIFT (Device) $138.51
- XIAFLEX (Biological) $135.73
- Desara (Device) $132.84
- Axumin (Drug) $131.13
- RESTORELLE (Device) $114.73
- UroLift (Device) $108.02
- Nubeqa (Drug) $96.87
- ADVANCE (Device) $88.12
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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