This provider averages 56 services per working day
Based on 140.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.8M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 56 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 186% from 2014 to 2023.
69% of their billing comes from a single procedure code (J1212 — Injection, dmso, dimethyl sulfoxide, 50%, 50 ml).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 76% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $499.36 | $168.33 | 2.97x | $331.03 | $440.8K | 13.6K | 2.8K |
| 2015 | $202.71 | $79.00 | 2.57x | $123.71 | $430.7K | 13.7K | 2.8K |
| 2016 | $362.48 | $111.77 | 3.24x | $250.71 | $756.2K | 13.7K | 2.4K |
| 2017 | $237.06 | $99.07 | 2.39x | $137.99 | $964.7K | 13.8K | 2.4K |
| 2018 | $442.34 | $181.15 | 2.44x | $261.19 | $1.2M | 14.4K | 2.2K |
| 2019 | $229.51 | $105.39 | 2.18x | $124.12 | $1.3M | 15.6K | 2.1K |
| 2020 | $541.27 | $220.09 | 2.46x | $321.18 | $1.5M | 14.7K | 2.0K |
| 2021 | $543.58 | $224.35 | 2.42x | $319.23 | $1.5M | 14.5K | 1.8K |
| 2022 | $247.38 | $126.17 | 1.96x | $121.21 | $1.4M | 13.9K | 1.6K |
| 2023 | $242.47 | $126.77 | 1.91x | $115.70 | $1.3M | 12.1K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1212 | Injection, dmso, dimethyl sulfoxide, 50%, 50 ml | 18.7K | $7.4M | $396.38 | 1.40x |
| 51700 | Bladder irrigation and/or instillation | 19.1K | $1.2M | $65.06 | 3.07x |
| 87084 | Screening test for pathogenic organisms with colony count | 27.8K | $592.8K | $21.31 | 1.47x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.3K | $505.2K | $80.60 | 1.90x |
| 87184 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 30.0K | $246.1K | $8.20 | 4.39x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 534 | $125.3K | $234.66 | 2.98x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 891 | $105.7K | $118.65 | 1.81x |
| 53850 | Destruction of prostate tissue through bladder canal (urethra) | 62 | $100.5K | $1.6K | 2.71x |
| 81003 | Automated urinalysis test | 26.1K | $66.1K | $2.54 | 5.91x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 424 | $65.4K | $154.24 | 2.60x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.0K | $55.8K | $55.23 | 1.99x |
| 51720 | Bladder instillation of cancer preventive, inhibiting, or suppressive agent | 692 | $53.7K | $77.63 | 3.22x |
| J9031 | Bcg (intravesical) per instillation | 519 | $50.2K | $96.77 | 2.27x |
| 55700 | Biopsy of prostate gland | 153 | $30.9K | $202.27 | 1.48x |
| 87086 | Bacterial colony count, urine | 2.2K | $23.5K | $10.73 | 3.73x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 135 | $20.3K | $150.41 | 2.33x |
| 81000 | Manual urinalysis test with examination using microscope | 4.1K | $17.1K | $4.22 | 4.50x |
| 76872 | Ultrasound of rectum | 148 | $13.8K | $93.30 | 2.68x |
| 50590 | Shock wave crushing of kidney stones | 25 | $11.5K | $459.84 | 6.09x |
| 96402 | Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle | 424 | $11.2K | $26.39 | 2.65x |
This provider submits charges 1.8 times higher than what Medicare actually pays.
A markup ratio of 1.8x means for every $100 Medicare pays, this provider initially charges $180. This is lower 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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