This provider's $6.7M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $443.24 | $183.85 | 2.41x | $259.39 | $740.2K | 8.4K | 5.0K |
| 2015 | $394.84 | $162.51 | 2.43x | $232.33 | $784.8K | 9.7K | 5.8K |
| 2016 | $421.08 | $166.27 | 2.53x | $254.81 | $859.9K | 10.3K | 6.1K |
| 2017 | $354.21 | $131.48 | 2.69x | $222.73 | $636.1K | 8.4K | 4.8K |
| 2018 | $364.77 | $135.96 | 2.68x | $228.81 | $651.6K | 8.5K | 4.8K |
| 2019 | $469.69 | $147.24 | 3.19x | $322.45 | $713.4K | 8.6K | 5.0K |
| 2020 | $452.72 | $146.13 | 3.10x | $306.59 | $493.7K | 5.8K | 3.5K |
| 2021 | $760.76 | $156.80 | 4.85x | $603.96 | $603.9K | 6.0K | 3.9K |
| 2022 | $476.17 | $163.92 | 2.90x | $312.25 | $573.9K | 5.9K | 4.0K |
| 2023 | $499.20 | $160.80 | 3.10x | $338.40 | $676.3K | 6.8K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93976 | Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 6.6K | $841.7K | $127.68 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.7K | $720.1K | $61.33 | 2.63x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 733 | $463.9K | $632.83 | 2.05x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.9K | $458.2K | $93.73 | 2.51x |
| 76770 | Ultrasound behind abdominal cavity | 4.2K | $418.1K | $98.62 | 2.84x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 1.8K | $404.5K | $221.76 | 2.77x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 2.4K | $389.2K | $159.20 | 2.34x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 642 | $196.2K | $305.66 | 2.29x |
| 53850 | Destruction of prostate tissue through bladder canal (urethra) | 106 | $185.7K | $1.8K | 1.83x |
| 50590 | Shock wave crushing of kidney stones | 341 | $166.9K | $489.56 | 3.09x |
| 51700 | Bladder irrigation and/or instillation | 3.8K | $149.4K | $39.18 | 3.84x |
| 76775 | Ultrasound behind abdominal cavity, limited | 2.7K | $132.4K | $48.42 | 4.22x |
| 53854 | Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy | 82 | $130.4K | $1.6K | 2.63x |
| 76870 | Ultrasound of scrotum | 1.9K | $120.3K | $62.64 | 4.28x |
| 51710 | Removal of suture around skin surface tube with change of bladder tube | 1.1K | $118.7K | $105.69 | 3.31x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 7.8K | $107.6K | $13.79 | 2.21x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.7K | $101.1K | $60.84 | 2.41x |
| 53852 | Destruction of prostate tissue through bladder canal (urethra) | 54 | $89.7K | $1.7K | 1.43x |
| 55700 | Biopsy of prostate gland | 490 | $83.1K | $169.68 | 2.83x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 941 | $77.8K | $82.72 | 2.61x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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