This provider averages 178 services per working day
Based on 444.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.7M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 178 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 | $326.46 | $114.17 | 2.86x | $212.29 | $1.6M | 49.0K | 26.6K |
| 2015 | $318.73 | $110.39 | 2.89x | $208.34 | $1.4M | 45.1K | 24.5K |
| 2016 | $445.70 | $104.99 | 4.25x | $340.71 | $1.3M | 42.0K | 23.1K |
| 2017 | $475.80 | $131.88 | 3.61x | $343.92 | $1.3M | 39.5K | 23.7K |
| 2018 | $360.34 | $129.09 | 2.79x | $231.25 | $1.4M | 44.1K | 25.0K |
| 2019 | $289.78 | $104.44 | 2.77x | $185.34 | $1.7M | 49.5K | 28.0K |
| 2020 | $312.66 | $108.85 | 2.87x | $203.81 | $1.4M | 45.1K | 25.8K |
| 2021 | $312.74 | $114.18 | 2.74x | $198.56 | $1.6M | 46.4K | 26.7K |
| 2022 | $308.77 | $110.63 | 2.79x | $198.14 | $1.5M | 43.1K | 25.2K |
| 2023 | $301.43 | $105.34 | 2.86x | $196.09 | $1.4M | 41.0K | 24.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 32.2K | $1.9M | $59.50 | 2.91x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.3K | $1.4M | $88.36 | 2.85x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 1.6K | $932.4K | $598.09 | 2.72x |
| 76856 | Ultrasound of pelvis | 10.3K | $892.2K | $86.40 | 2.87x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 3.8K | $633.6K | $166.35 | 2.86x |
| 88108 | Cell examination of specimen | 12.2K | $603.9K | $49.64 | 2.70x |
| 76872 | Ultrasound of rectum | 6.0K | $542.1K | $89.92 | 3.41x |
| 87086 | Bacterial colony count, urine | 54.3K | $507.6K | $9.34 | 1.89x |
| 84153 | PSA (prostate specific antigen) measurement | 23.4K | $497.8K | $21.31 | 1.93x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.9K | $494.0K | $127.89 | 2.87x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.4K | $457.1K | $84.90 | 2.74x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 39.1K | $446.9K | $11.44 | 3.06x |
| 84403 | Testosterone (hormone) level | 14.5K | $431.2K | $29.78 | 1.66x |
| 76705 | Ultrasound of abdomen | 10.3K | $421.5K | $40.95 | 4.84x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.1K | $343.6K | $162.24 | 2.81x |
| 84146 | Prolactin (milk producing hormone) level | 14.5K | $324.5K | $22.36 | 1.78x |
| 83001 | Gonadotropin, follicle stimulating (reproductive hormone) level | 14.5K | $311.9K | $21.44 | 1.79x |
| 83002 | Gonadotropin, luteinizing (reproductive hormone) level | 14.5K | $310.3K | $21.36 | 1.76x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 973 | $283.4K | $291.28 | 2.69x |
| 84270 | Sex hormone binding globulin (protein) level | 14.5K | $262.2K | $18.04 | 3.14x |
This provider submits charges 2.93 times higher than what Medicare actually pays.
A markup ratio of 2.93x means for every $100 Medicare pays, this provider initially charges $293. 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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