This provider averages 90 services per working day
Based on 225.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Their average markup ratio of 5.03x is significantly above the specialty median of 3.8x.
Averaging 90 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 | $410.53 | $80.16 | 5.12x | $330.37 | $591.3K | 19.0K | 13.1K |
| 2015 | $571.16 | $101.26 | 5.64x | $469.90 | $655.6K | 20.4K | 13.8K |
| 2016 | $533.96 | $79.90 | 6.68x | $454.06 | $775.8K | 23.6K | 15.8K |
| 2017 | $600.45 | $84.16 | 7.13x | $516.29 | $829.6K | 25.0K | 16.8K |
| 2018 | $595.01 | $78.67 | 7.56x | $516.34 | $797.5K | 24.6K | 16.4K |
| 2019 | $501.48 | $71.34 | 7.03x | $430.14 | $737.6K | 24.0K | 15.6K |
| 2020 | $589.35 | $77.82 | 7.57x | $511.53 | $600.3K | 19.6K | 13.8K |
| 2021 | $616.76 | $84.96 | 7.26x | $531.80 | $810.3K | 23.2K | 14.9K |
| 2022 | $480.71 | $64.94 | 7.40x | $415.77 | $758.3K | 24.1K | 15.6K |
| 2023 | $531.80 | $71.71 | 7.42x | $460.09 | $724.9K | 22.4K | 15.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 36.0K | $1.7M | $47.64 | 2.40x |
| 76770 | Ultrasound behind abdominal cavity | 10.4K | $725.1K | $69.56 | 4.31x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.5K | $428.8K | $65.68 | 2.27x |
| 84153 | PSA (prostate specific antigen) measurement | 20.5K | $404.3K | $19.74 | 3.45x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 2.4K | $399.5K | $163.38 | 10.22x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 803 | $346.3K | $431.22 | 4.17x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 1.0K | $301.5K | $299.38 | 13.13x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.7K | $277.5K | $162.87 | 7.61x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 3.0K | $217.9K | $72.14 | 6.24x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 7.6K | $205.8K | $27.21 | 2.26x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 21.4K | $179.9K | $8.40 | 4.76x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $129.9K | $66.40 | 3.15x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $127.4K | $99.82 | 2.78x |
| 81003 | Automated urinalysis test | 43.4K | $112.3K | $2.58 | 6.35x |
| 74170 | CT scan abdomen before and after contrast | 894 | $105.9K | $118.48 | 5.25x |
| 51741 | Electronic assessment of bladder emptying | 10.8K | $94.7K | $8.80 | 17.00x |
| 50590 | Shock wave crushing of kidney stones | 227 | $88.6K | $390.15 | 6.31x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $85.3K | $68.87 | 12.46x |
| 55700 | Biopsy of prostate gland | 853 | $80.0K | $93.82 | 4.26x |
| 36415 | Insertion of needle into vein for collection of blood sample | 23.4K | $78.6K | $3.37 | 5.00x |
This provider submits charges 5.03 times higher than what Medicare actually pays.
A markup ratio of 5.03x means for every $100 Medicare pays, this provider initially charges $503. 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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