This provider averages 123 services per working day
Based on 307.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.5M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 123 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 181% 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 | $357.39 | $87.28 | 4.09x | $270.11 | $604.8K | 13.4K | 6.3K |
| 2015 | $385.69 | $89.39 | 4.31x | $296.30 | $603.3K | 14.1K | 6.8K |
| 2016 | $385.46 | $92.13 | 4.18x | $293.33 | $567.3K | 13.6K | 6.5K |
| 2017 | $413.13 | $104.26 | 3.96x | $308.87 | $679.9K | 15.3K | 7.5K |
| 2018 | $327.83 | $81.56 | 4.02x | $246.27 | $743.7K | 20.0K | 10.5K |
| 2019 | $228.02 | $65.45 | 3.48x | $162.57 | $993.1K | 26.1K | 14.4K |
| 2020 | $177.13 | $50.27 | 3.52x | $126.86 | $1.2M | 39.3K | 25.0K |
| 2021 | $191.75 | $52.33 | 3.66x | $139.42 | $1.6M | 53.4K | 32.9K |
| 2022 | $184.84 | $53.49 | 3.46x | $131.35 | $1.8M | 54.6K | 31.9K |
| 2023 | $246.58 | $48.31 | 5.10x | $198.27 | $1.7M | 57.3K | 34.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 8.8K | $989.4K | $111.82 | 4.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.1K | $871.8K | $61.97 | 2.24x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.2K | $834.2K | $102.30 | 2.84x |
| 51728 | Insertion of electronic device into bladder with voiding pressure studies | 2.2K | $734.3K | $333.19 | 2.90x |
| 76856 | Ultrasound of pelvis | 6.5K | $637.5K | $97.67 | 2.78x |
| 91122 | Study of anorectal pressure generated by muscles surrounding anus (sphincter) | 1.8K | $403.6K | $228.27 | 3.13x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 1.0K | $258.9K | $247.24 | 4.01x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 1.8K | $252.9K | $141.35 | 3.86x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 720 | $232.5K | $322.97 | 3.09x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 5.3K | $209.5K | $39.79 | 3.42x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $189.9K | $134.48 | 2.98x |
| 82670 | Estradiol (hormone) level | 5.2K | $147.8K | $28.42 | 2.02x |
| 76775 | Ultrasound behind abdominal cavity, limited | 3.3K | $147.3K | $44.60 | 5.17x |
| 84403 | Testosterone (hormone) level | 5.3K | $140.9K | $26.35 | 2.13x |
| 84402 | Testosterone (hormone) level | 5.3K | $138.8K | $26.00 | 2.14x |
| 51741 | Electronic assessment of bladder emptying | 11.9K | $128.3K | $10.75 | 18.35x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 8.1K | $123.5K | $15.26 | 4.11x |
| 82627 | Dehydroepiandrosterone (DHEA-S) hormone level | 5.2K | $117.8K | $22.61 | 2.41x |
| 82306 | Vitamin D-3 level | 3.4K | $105.3K | $30.63 | 1.65x |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 2.5K | $104.2K | $40.85 | 13.69x |
This provider submits charges 3.78 times higher than what Medicare actually pays.
A markup ratio of 3.78x means for every $100 Medicare pays, this provider initially charges $378. 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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