This provider averages 52 services per working day
Based on 129.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 53% from 2014 to 2023.
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 | $444.90 | $120.30 | 3.70x | $324.60 | $560.2K | 11.2K | 5.4K |
| 2015 | $393.38 | $98.48 | 3.99x | $294.90 | $579.2K | 12.2K | 6.0K |
| 2016 | $427.57 | $107.38 | 3.98x | $320.19 | $612.7K | 13.1K | 6.1K |
| 2017 | $367.04 | $107.44 | 3.42x | $259.60 | $732.9K | 13.8K | 6.3K |
| 2018 | $470.27 | $124.24 | 3.79x | $346.03 | $746.1K | 14.8K | 6.6K |
| 2019 | $601.45 | $101.74 | 5.91x | $499.71 | $689.1K | 13.1K | 5.8K |
| 2020 | $616.64 | $104.14 | 5.92x | $512.50 | $634.5K | 11.2K | 4.9K |
| 2021 | $719.51 | $122.10 | 5.89x | $597.41 | $793.9K | 12.2K | 5.0K |
| 2022 | $672.61 | $119.18 | 5.64x | $553.43 | $824.9K | 13.6K | 5.0K |
| 2023 | $657.50 | $113.63 | 5.79x | $543.87 | $854.5K | 14.1K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 44.6K | $3.6M | $80.04 | 2.69x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 20.2K | $1.1M | $52.44 | 2.52x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 3.6K | $524.5K | $145.62 | 2.82x |
| 50590 | Shock wave crushing of kidney stones | 878 | $386.8K | $440.54 | 4.68x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.6K | $302.3K | $114.67 | 2.10x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $176.2K | $115.27 | 2.43x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 10.2K | $113.2K | $11.05 | 6.79x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 663 | $107.5K | $162.11 | 3.79x |
| 81002 | Urinalysis, manual test | 24.7K | $84.4K | $3.42 | 5.22x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 521 | $81.0K | $155.49 | 2.31x |
| 55700 | Biopsy of prostate gland | 437 | $77.7K | $177.72 | 3.55x |
| 51728 | Insertion of electronic device into bladder with voiding pressure studies | 210 | $50.9K | $242.43 | 5.66x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 67 | $38.7K | $578.17 | 3.54x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 639 | $36.2K | $56.62 | 2.82x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 120 | $35.6K | $296.43 | 7.25x |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | 323 | $35.1K | $108.65 | 4.23x |
| 76872 | Ultrasound of rectum | 432 | $34.7K | $80.31 | 3.50x |
| 36415 | Insertion of needle into vein for collection of blood sample | 10.6K | $33.7K | $3.18 | 4.47x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 158 | $33.6K | $212.79 | 7.30x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 194 | $29.8K | $153.60 | 2.47x |
This provider submits charges 3.11 times higher than what Medicare actually pays.
A markup ratio of 3.11x means for every $100 Medicare pays, this provider initially charges $311. 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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