This provider averages 93 services per working day
Based on 233.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.0M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 93 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 | $618.27 | $115.04 | 5.37x | $503.23 | $868.4K | 14.6K | 8.5K |
| 2015 | $557.92 | $109.88 | 5.08x | $448.04 | $1.0M | 18.0K | 10.2K |
| 2016 | $604.64 | $98.78 | 6.12x | $505.86 | $1.1M | 19.4K | 11.1K |
| 2017 | $589.19 | $93.29 | 6.32x | $495.90 | $1.1M | 20.2K | 11.7K |
| 2018 | $669.30 | $101.67 | 6.58x | $567.63 | $1.1M | 22.6K | 13.1K |
| 2019 | $698.95 | $99.73 | 7.01x | $599.22 | $1.1M | 22.8K | 13.7K |
| 2020 | $711.91 | $100.09 | 7.11x | $611.82 | $908.4K | 21.0K | 14.0K |
| 2021 | $695.49 | $125.59 | 5.54x | $569.90 | $1.3M | 29.4K | 17.9K |
| 2022 | $735.72 | $118.19 | 6.22x | $617.53 | $1.4M | 32.8K | 20.8K |
| 2023 | $676.17 | $111.30 | 6.08x | $564.87 | $1.3M | 32.3K | 19.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 51728 | Insertion of electronic device into bladder with voiding pressure studies | 7.7K | $2.4M | $310.71 | 2.22x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.7K | $1.4M | $88.15 | 3.89x |
| 76856 | Ultrasound of pelvis | 7.1K | $614.3K | $86.02 | 4.79x |
| 76770 | Ultrasound behind abdominal cavity | 5.0K | $512.2K | $103.02 | 3.97x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 1.8K | $436.1K | $246.24 | 4.81x |
| 76775 | Ultrasound behind abdominal cavity, limited | 8.5K | $403.6K | $47.34 | 6.34x |
| 55866 | Surgical removal of prostate and surrounding lymph nodes using an endoscope | 318 | $390.2K | $1.2K | 7.88x |
| 76857 | Ultrasound of pelvis | 7.3K | $305.5K | $41.83 | 9.32x |
| 82306 | Vitamin D-3 level | 9.2K | $303.3K | $33.14 | 3.02x |
| 84403 | Testosterone (hormone) level | 9.8K | $287.2K | $29.38 | 3.23x |
| 84270 | Sex hormone binding globulin (protein) level | 9.6K | $237.0K | $24.69 | 3.85x |
| 84153 | PSA (prostate specific antigen) measurement | 9.8K | $205.8K | $20.94 | 3.34x |
| 82670 | Estradiol (hormone) level | 6.1K | $181.7K | $29.91 | 3.01x |
| 88121 | Cell examination of urine | 381 | $171.6K | $450.48 | 3.33x |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 1.9K | $167.6K | $87.96 | 5.78x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 931 | $116.6K | $125.25 | 3.31x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 718 | $99.5K | $138.54 | 2.77x |
| 84154 | PSA (prostate specific antigen) measurement | 4.9K | $94.2K | $19.09 | 4.71x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 10.4K | $92.2K | $8.84 | 2.83x |
| 51990 | Suture suspension of bladder canal (urethra) to control leakage using an endoscope | 281 | $88.3K | $314.30 | 11.14x |
This provider submits charges 4.24 times higher than what Medicare actually pays.
A markup ratio of 4.24x means for every $100 Medicare pays, this provider initially charges $424. 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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