This provider averages 186 services per working day
Based on 465.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.5M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 186 services per working day raises questions about billing patterns.
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 | $351.37 | $76.52 | 4.59x | $274.85 | $1.5M | 46.9K | 21.2K |
| 2015 | $339.18 | $73.29 | 4.63x | $265.89 | $1.6M | 48.8K | 22.6K |
| 2016 | $361.86 | $81.54 | 4.44x | $280.32 | $1.6M | 48.0K | 21.8K |
| 2017 | $352.17 | $65.35 | 5.39x | $286.82 | $1.3M | 42.1K | 19.9K |
| 2018 | $318.03 | $63.05 | 5.04x | $254.98 | $1.2M | 42.1K | 19.9K |
| 2019 | $265.69 | $54.31 | 4.89x | $211.38 | $1.2M | 41.3K | 19.6K |
| 2020 | $251.86 | $53.27 | 4.73x | $198.59 | $1.0M | 37.0K | 19.8K |
| 2021 | $242.05 | $51.20 | 4.73x | $190.85 | $1.4M | 53.4K | 24.7K |
| 2022 | $334.31 | $59.14 | 5.65x | $275.17 | $1.4M | 53.6K | 25.6K |
| 2023 | $282.26 | $54.75 | 5.16x | $227.51 | $1.3M | 52.1K | 23.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 30.0K | $2.7M | $88.78 | 3.81x |
| 76856 | Ultrasound of pelvis | 16.0K | $1.5M | $96.08 | 4.30x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 4.6K | $1.2M | $260.83 | 4.53x |
| 84403 | Testosterone (hormone) level | 22.9K | $693.4K | $30.34 | 3.13x |
| 82306 | Vitamin D-3 level | 15.7K | $546.8K | $34.94 | 2.86x |
| 82670 | Estradiol (hormone) level | 15.5K | $495.3K | $31.91 | 2.82x |
| 84153 | PSA (prostate specific antigen) measurement | 22.8K | $493.8K | $21.62 | 3.24x |
| 84270 | Sex hormone binding globulin (protein) level | 15.6K | $386.4K | $24.84 | 3.82x |
| 88121 | Cell examination of urine | 796 | $359.7K | $451.82 | 3.32x |
| 84146 | Prolactin (milk producing hormone) level | 15.4K | $341.5K | $22.14 | 3.16x |
| 83001 | Gonadotropin, follicle stimulating (reproductive hormone) level | 15.5K | $327.9K | $21.22 | 3.30x |
| 83002 | Gonadotropin, luteinizing (reproductive hormone) level | 15.4K | $326.1K | $21.15 | 2.74x |
| 76775 | Ultrasound behind abdominal cavity, limited | 5.3K | $253.5K | $47.99 | 6.25x |
| 76770 | Ultrasound behind abdominal cavity | 2.3K | $225.5K | $100.15 | 4.14x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 22.6K | $206.8K | $9.13 | 2.74x |
| 76857 | Ultrasound of pelvis | 4.7K | $194.9K | $41.36 | 9.32x |
| 84154 | PSA (prostate specific antigen) measurement | 9.0K | $189.6K | $21.10 | 4.27x |
| 76872 | Ultrasound of rectum | 1.5K | $158.9K | $104.68 | 2.87x |
| 80076 | Liver function blood test panel | 22.6K | $151.9K | $6.72 | 4.46x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 23.6K | $140.5K | $5.94 | 5.03x |
This provider submits charges 4.11 times higher than what Medicare actually pays.
A markup ratio of 4.11x means for every $100 Medicare pays, this provider initially charges $411. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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