This provider averages 110 services per working day
Based on 275.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 110 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 | $412.29 | $94.62 | 4.36x | $317.67 | $936.3K | 31.7K | 8.9K |
| 2015 | $439.69 | $107.08 | 4.11x | $332.61 | $910.0K | 30.1K | 8.9K |
| 2016 | $386.15 | $87.97 | 4.39x | $298.18 | $734.7K | 28.0K | 7.7K |
| 2017 | $396.37 | $90.48 | 4.38x | $305.89 | $802.7K | 28.3K | 8.2K |
| 2018 | $525.78 | $109.20 | 4.81x | $416.58 | $830.0K | 28.3K | 8.4K |
| 2019 | $456.28 | $109.34 | 4.17x | $346.94 | $820.1K | 28.6K | 8.6K |
| 2020 | $472.11 | $114.71 | 4.12x | $357.40 | $761.5K | 28.0K | 8.1K |
| 2021 | $351.30 | $86.80 | 4.05x | $264.50 | $676.1K | 25.7K | 7.4K |
| 2022 | $337.36 | $84.51 | 3.99x | $252.85 | $628.6K | 23.9K | 7.1K |
| 2023 | $313.12 | $78.34 | 4.00x | $234.78 | $591.2K | 23.1K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.3K | $1.4M | $77.61 | 2.06x |
| J0725 | Injection, chorionic gonadotropin, per 1,000 usp units | 47.3K | $755.4K | $15.98 | 2.02x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 51.7K | $698.7K | $13.52 | 2.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.9K | $644.7K | $53.99 | 2.31x |
| 76856 | Ultrasound of pelvis | 7.7K | $554.2K | $71.84 | 3.48x |
| 84403 | Testosterone (hormone) level | 10.0K | $303.1K | $30.18 | 5.14x |
| 84153 | PSA (prostate specific antigen) measurement | 11.8K | $252.0K | $21.30 | 5.02x |
| 76872 | Ultrasound of rectum | 2.8K | $210.8K | $76.18 | 3.94x |
| 74176 | CT scan of abdomen and pelvis | 1.4K | $196.4K | $140.96 | 8.51x |
| 76770 | Ultrasound behind abdominal cavity | 2.6K | $193.7K | $74.20 | 4.04x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 870 | $156.0K | $179.32 | 3.35x |
| 93976 | Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 1.4K | $138.7K | $102.69 | 5.36x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 599 | $123.9K | $206.86 | 3.87x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 476 | $120.8K | $253.77 | 7.09x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 722 | $115.3K | $159.69 | 3.98x |
| 91122 | Study of anorectal pressure generated by muscles surrounding anus (sphincter) | 666 | $114.7K | $172.21 | 2.90x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 406 | $104.4K | $257.03 | 2.33x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 872 | $95.5K | $109.49 | 2.28x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $91.2K | $73.20 | 2.39x |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 1.2K | $78.6K | $65.95 | 6.06x |
This provider submits charges 3.52 times higher than what Medicare actually pays.
A markup ratio of 3.52x means for every $100 Medicare pays, this provider initially charges $352. 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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