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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Bellingham Urology Group, Pllc
๐Ÿ”ช
Organization

Bellingham Urology Group, Pllc

NPI: 1043690126
Bellingham, WA
9 years of data
Ambulatory Surgical Center
$3.6M
Total Payments
3.6K
Beneficiaries
4.2K
Services
3.01x
Markup Ratio

Peer Comparison

91th
percentile in specialty
This provider$3.6M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $3.6M over 9 years
23.01x markup ratio (above median)
391th percentile in Ambulatory Surgical Center by payments
4Payments surged 631% in 2016
59 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $3.6M in total Medicare payments ranks in the 91th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 2084% from 2015 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 631% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2015$1.4K$264.155.18x$1.1K$25.6K9786
2016$2.9K$993.162.92x$1.9K$187.3K382321
2017$2.2K$685.423.19x$1.5K$132.7K353294
2018$5.1K$1.6K3.18x$3.5K$293.3K434359
2019$4.1K$1.4K2.97x$2.7K$428.6K500416
2020$6.0K$2.1K2.87x$3.9K$591.4K557475
2021$3.5K$1.6K2.17x$1.9K$670.6K639570
2022$3.4K$1.3K2.54x$2.1K$675.4K636571
2023$2.9K$1.2K2.32x$1.6K$559.7K574517

Top Procedures (15)

C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants
$2.0M
343 services$6.0K/svc2.06x markup
52000Diagnostic examination of the bladder and bladder canal (urethra) using an endoscopeโš  5.6x markup
$689.3K
2.8K services$245.73/svc5.61x markup
55700Biopsy of prostate gland
$217.0K
315 services$688.94/svc2.97x markup
52310Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope
$157.9K
228 services$692.35/svc2.83x markup
52601Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope
$99.3K
54 services$1.8K/svc2.25x markup
52224Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope
$70.4K
80 services$880.51/svc2.95x markup
52281Dilation of bladder canal (urethra) using an endoscopeโš  3.3x markup
$59.0K
83 services$711.20/svc3.28x markup
52234Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscopeโš  3.2x markup
$55.6K
52 services$1.1K/svc3.16x markup
64561Insertion of sacral nerve neurostimulator electrodes, accessed through the skinโš  3.2x markup
$53.2K
13 services$4.1K/svc3.17x markup
52356Crushing of stone of ureter with insertion of stent using an endoscopeโš  3.0x markup
$38.3K
21 services$1.8K/svc3.03x markup
50590Shock wave crushing of kidney stonesโš  6.0x markup
$32.0K
22 services$1.5K/svc6.00x markup
52287Exam with injections of chemical for destruction of bladder using an endoscopeโš  3.8x markup
$28.5K
41 services$694.00/svc3.83x markup
53850Destruction of prostate tissue through bladder canal (urethra)โš  10.1x markup
$17.2K
23 services$749.45/svc10.06x markup
76872Ultrasound of rectumโš  7.5x markup
$2.5K
50 services$49.73/svc7.49x markup
J0585Injection, onabotulinumtoxina, 1 unit
$207.10
42 services$4.93/svc2.03x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants343$2.0M$6.0K2.06x
52000Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope2.8K$689.3K$245.735.61x
55700Biopsy of prostate gland315$217.0K$688.942.97x
52310Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope228$157.9K$692.352.83x
52601Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope54$99.3K$1.8K2.25x
52224Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope80$70.4K$880.512.95x
52281Dilation of bladder canal (urethra) using an endoscope83$59.0K$711.203.28x
52234Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope52$55.6K$1.1K3.16x
64561Insertion of sacral nerve neurostimulator electrodes, accessed through the skin13$53.2K$4.1K3.17x
52356Crushing of stone of ureter with insertion of stent using an endoscope21$38.3K$1.8K3.03x
50590Shock wave crushing of kidney stones22$32.0K$1.5K6.00x
52287Exam with injections of chemical for destruction of bladder using an endoscope41$28.5K$694.003.83x
53850Destruction of prostate tissue through bladder canal (urethra)23$17.2K$749.4510.06x
76872Ultrasound of rectum50$2.5K$49.737.49x
J0585Injection, onabotulinumtoxina, 1 unit42$207.10$4.932.03x

Markup Analysis

Charge-to-Payment Ratio

3.01x

This provider submits charges 3.01 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. This is higher than the national average.

Location

Bellingham, WA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in WA for peer comparison.

Bellingham Urology Group, Pllc (you)
$3.6M
Olympia Orthopaedic Associates Pllc
$38.7M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Olympia Orthopaedic Associates PllcOlympia, WA$38.7Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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