Stephanie Makumi Moreno, AGNP-C

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Urology Austin PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 59 clinicians in the practice; 12 are shown here.

• Cindy Altonburg, DNP, APRN, FNP-C Registered Nurse · Austin, TX
• Dr. Melody Ann Denson, MD Urology Physician · Austin, TX
• Miranda Jo Hardee, MD Urology Physician · Austin, TX
• Holly Kane, PA-C Medical Physician Assistant · Round Rock, TX
• Jeffrey Neal Kocurek, MD Urology Physician · Austin, TX
• Danielle Bagaley Manes, PA-C Physician Assistant · Austin, TX
• Elizabeth Marie Mobley, MD Urology Physician · Austin, TX
• Robert Orcutt Northway III, MD Urology Physician · Austin, TX
• Vanessa Jean Schiafone, APRN-CNP Acute Care Nurse Practitioner · Austin, TX
• Kashyap Shatagopam, MD Urology Physician · Georgetown, TX
• Dr. John Tucker Sigalos, MD Urology Physician · Austin, TX
• Darving Vargas Ramos, FNP-C Family Nurse Practitioner · Austin, TX

Other providers in Georgetown

• Rosemarie Perez Garcia, AGNP

  Individual Gerontology Nurse Practitioner · NPI 1356900187

  204 Sunset Rdg, Georgetown, TX 78633-5299 · (832) 646-9573

• Venessa Gonzalez Robles, AGNP-C

  Individual Gerontology Nurse Practitioner · NPI 1871143560

  4879 Williams Dr Ste 103, Georgetown, TX 78633-2436 · (855) 481-8375