This provider averages 57 services per working day
Based on 142.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.2M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 57 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 67% 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 | $1.2K | $256.54 | 4.60x | $923.19 | $1.1M | 11.6K | 4.2K |
| 2015 | $1.1K | $266.23 | 4.10x | $824.14 | $1.1M | 11.2K | 4.1K |
| 2016 | $1.0K | $213.99 | 4.74x | $801.02 | $1.2M | 14.0K | 5.7K |
| 2017 | $965.87 | $203.25 | 4.75x | $762.62 | $1.2M | 14.6K | 6.2K |
| 2018 | $839.49 | $154.65 | 5.43x | $684.84 | $1.4M | 16.2K | 6.5K |
| 2019 | $553.18 | $147.41 | 3.75x | $405.77 | $1.4M | 15.5K | 6.8K |
| 2020 | $695.13 | $156.55 | 4.44x | $538.58 | $1.4M | 13.2K | 6.1K |
| 2021 | $622.14 | $148.98 | 4.18x | $473.16 | $1.8M | 14.7K | 6.5K |
| 2022 | $508.30 | $152.10 | 3.34x | $356.20 | $1.9M | 15.6K | 6.7K |
| 2023 | $502.14 | $145.22 | 3.46x | $356.92 | $1.8M | 15.6K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52214 | Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope | 4.1K | $2.7M | $650.75 | 3.84x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 9.3K | $1.3M | $139.53 | 3.12x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.6K | $1.3M | $92.20 | 3.31x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 4.7K | $1.2M | $253.26 | 3.36x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 19.1K | $1.2M | $60.78 | 2.71x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 1.8K | $1.1M | $636.35 | 3.93x |
| 52317 | Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone | 1.2K | $967.6K | $790.52 | 3.16x |
| 53850 | Destruction of prostate tissue through bladder canal (urethra) | 303 | $556.1K | $1.8K | 3.54x |
| 76872 | Ultrasound of rectum | 5.1K | $546.4K | $107.57 | 1.39x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 6.0K | $533.8K | $88.73 | 2.50x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.4K | $408.6K | $168.36 | 2.89x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.6K | $283.7K | $175.99 | 3.44x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 21.6K | $280.4K | $12.95 | 11.58x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $271.2K | $61.26 | 3.36x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.6K | $254.8K | $162.89 | 3.98x |
| 76775 | Ultrasound behind abdominal cavity, limited | 4.7K | $242.6K | $52.09 | 2.88x |
| 76857 | Ultrasound of pelvis | 4.4K | $182.1K | $41.44 | 3.84x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.4K | $157.2K | $114.06 | 3.09x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $142.1K | $133.69 | 3.54x |
| 76870 | Ultrasound of scrotum | 1.7K | $135.9K | $82.14 | 1.28x |
This provider submits charges 3.51 times higher than what Medicare actually pays.
A markup ratio of 3.51x means for every $100 Medicare pays, this provider initially charges $351. 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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