This provider averages 70 services per working day
Based on 173.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.1M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 70 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 | $817.15 | $170.27 | 4.80x | $646.88 | $1.7M | 22.8K | 11.9K |
| 2015 | $828.82 | $172.18 | 4.81x | $656.64 | $1.5M | 20.4K | 11.4K |
| 2016 | $727.66 | $162.24 | 4.49x | $565.42 | $1.4M | 19.7K | 11.0K |
| 2017 | $794.67 | $179.89 | 4.42x | $614.78 | $1.3M | 19.1K | 10.4K |
| 2018 | $546.73 | $121.46 | 4.50x | $425.27 | $1.1M | 17.4K | 9.5K |
| 2019 | $531.76 | $124.69 | 4.26x | $407.07 | $963.2K | 15.3K | 8.7K |
| 2020 | $830.02 | $209.13 | 3.97x | $620.89 | $1.2M | 14.8K | 7.4K |
| 2021 | $785.79 | $205.51 | 3.82x | $580.28 | $1.3M | 15.5K | 8.6K |
| 2022 | $844.49 | $200.22 | 4.22x | $644.27 | $1.3M | 15.3K | 9.1K |
| 2023 | $739.10 | $184.08 | 4.02x | $555.02 | $1.2M | 13.4K | 8.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 33.2K | $3.0M | $91.34 | 4.01x |
| 76770 | Ultrasound behind abdominal cavity | 21.2K | $2.0M | $94.87 | 4.35x |
| 76856 | Ultrasound of pelvis | 22.1K | $1.4M | $62.54 | 6.52x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 2.0K | $1.3M | $665.47 | 4.00x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 3.1K | $785.6K | $257.16 | 3.96x |
| 52214 | Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope | 1.1K | $708.8K | $634.01 | 3.75x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.8K | $253.8K | $142.45 | 2.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $217.9K | $129.65 | 2.87x |
| 51728 | Insertion of electronic device into bladder with voiding pressure studies | 732 | $216.3K | $295.54 | 3.83x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 909 | $208.4K | $229.23 | 5.03x |
| 51741 | Electronic assessment of bladder emptying | 18.2K | $206.2K | $11.33 | 8.82x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.2K | $203.9K | $165.49 | 3.65x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 1.7K | $186.6K | $111.00 | 4.05x |
| 53850 | Destruction of prostate tissue through bladder canal (urethra) | 97 | $177.8K | $1.8K | 4.29x |
| 53854 | Destruction of prostate tissue accessed through urethra using radiofrequency generated water vapor heat therapy | 94 | $156.0K | $1.7K | 3.98x |
| 91122 | Study of anorectal pressure generated by muscles surrounding anus (sphincter) | 687 | $147.5K | $214.65 | 4.08x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 846 | $133.9K | $158.28 | 4.08x |
| 76857 | Ultrasound of pelvis | 3.3K | $111.6K | $34.17 | 6.18x |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 1.4K | $104.1K | $73.31 | 7.58x |
| 90911 | Biofeedback training, perineal muscles, anorectal or urethral sphincter | 1.4K | $100.0K | $72.10 | 9.64x |
This provider submits charges 4.51 times higher than what Medicare actually pays.
A markup ratio of 4.51x means for every $100 Medicare pays, this provider initially charges $451. 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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