This provider's $4.1M in total Medicare payments ranks in the 98th percentile of Urology providers nationally.
Medicare payments to this provider grew 256% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 120% in 2021
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 | $235.52 | $156.07 | 1.51x | $79.45 | $182.7K | 2.2K | 1.2K |
| 2015 | $254.19 | $174.88 | 1.45x | $79.31 | $210.2K | 2.5K | 1.4K |
| 2016 | $217.25 | $154.20 | 1.41x | $63.05 | $247.3K | 3.1K | 1.7K |
| 2017 | $251.20 | $165.69 | 1.52x | $85.51 | $281.4K | 3.1K | 1.8K |
| 2018 | $217.24 | $140.20 | 1.55x | $77.04 | $355.8K | 3.3K | 1.7K |
| 2019 | $324.92 | $197.83 | 1.64x | $127.09 | $430.8K | 3.7K | 1.9K |
| 2020 | $239.06 | $162.67 | 1.47x | $76.39 | $319.5K | 2.9K | 1.6K |
| 2021 | $338.10 | $216.94 | 1.56x | $121.16 | $702.7K | 5.8K | 3.1K |
| 2022 | $295.14 | $192.81 | 1.53x | $102.33 | $681.5K | 5.7K | 3.2K |
| 2023 | $324.25 | $185.65 | 1.75x | $138.60 | $651.1K | 5.6K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 6.9K | $1.7M | $250.17 | 1.50x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.5K | $817.5K | $95.85 | 1.39x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $209.3K | $132.19 | 1.44x |
| 76705 | Ultrasound of abdomen | 2.1K | $167.1K | $81.34 | 1.38x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 215 | $143.6K | $667.87 | 1.62x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 368 | $114.9K | $312.27 | 1.35x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.3K | $111.3K | $87.19 | 1.35x |
| 52214 | Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope | 151 | $110.1K | $728.86 | 1.57x |
| 13160 | Second repair of surgical wound | 138 | $93.7K | $679.03 | 1.39x |
| 52275 | Incision of the bladder canal (urethra) using an endoscope, male | 192 | $81.9K | $426.33 | 1.37x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 455 | $74.9K | $164.58 | 1.36x |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | 367 | $45.9K | $125.12 | 1.35x |
| 81000 | Manual urinalysis test with examination using microscope | 10.4K | $41.7K | $4.02 | 1.28x |
| 52317 | Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone | 62 | $40.2K | $648.21 | 1.30x |
| 51703 | Insertion of indwelling bladder catheter | 334 | $40.2K | $120.25 | 1.35x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 354 | $32.9K | $93.05 | 1.76x |
| 52265 | Dilation of the bladder including local anesthetic using an endoscope | 93 | $29.5K | $316.99 | 1.48x |
| 57150 | Irrigation of vagina and/or application of drug to treat infection | 724 | $25.9K | $35.84 | 2.88x |
| 36410 | Insertion of needle into vein, patient 3 years or older | 1.7K | $24.2K | $14.05 | 1.70x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 36 | $20.7K | $575.59 | 1.73x |
This provider submits charges 1.48 times higher than what Medicare actually pays.
A markup ratio of 1.48x means for every $100 Medicare pays, this provider initially charges $148. 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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