This provider averages 60 services per working day
Based on 149.1K 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 60 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 | $518.38 | $159.32 | 3.25x | $359.06 | $718.2K | 14.2K | 9.5K |
| 2015 | $470.65 | $129.31 | 3.64x | $341.34 | $767.4K | 14.7K | 9.3K |
| 2016 | $546.69 | $153.70 | 3.56x | $392.99 | $890.4K | 16.5K | 10.2K |
| 2017 | $542.25 | $153.58 | 3.53x | $388.67 | $757.7K | 14.5K | 8.8K |
| 2018 | $598.93 | $169.39 | 3.54x | $429.54 | $748.6K | 13.2K | 7.9K |
| 2019 | $638.49 | $185.96 | 3.43x | $452.53 | $710.4K | 13.0K | 8.0K |
| 2020 | $638.53 | $143.34 | 4.45x | $495.19 | $682.0K | 12.9K | 8.7K |
| 2021 | $613.09 | $126.38 | 4.85x | $486.71 | $877.5K | 17.5K | 10.5K |
| 2022 | $554.98 | $96.84 | 5.73x | $458.14 | $759.3K | 15.8K | 9.2K |
| 2023 | $591.20 | $107.75 | 5.49x | $483.45 | $809.2K | 16.8K | 9.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.3K | $2.0M | $79.78 | 3.48x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 5.5K | $651.4K | $118.16 | 4.11x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.0K | $650.2K | $59.21 | 3.10x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.7K | $444.8K | $120.17 | 3.54x |
| 76857 | Ultrasound of pelvis | 9.1K | $318.7K | $35.19 | 3.41x |
| 50590 | Shock wave crushing of kidney stones | 546 | $251.4K | $460.38 | 3.99x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 832 | $236.3K | $284.05 | 3.03x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 450 | $212.2K | $471.45 | 4.05x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.1K | $177.0K | $164.22 | 2.73x |
| 87801 | Detection test for multiple organisms | 2.5K | $174.4K | $69.52 | 3.02x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 295 | $159.6K | $541.04 | 3.21x |
| 95971 | Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour | 3.2K | $127.3K | $39.26 | 5.44x |
| 55700 | Biopsy of prostate gland | 713 | $103.3K | $144.83 | 4.15x |
| 52441 | Insertion of implant in bladder canal (urethra) within prostate gland using an endoscope | 288 | $100.0K | $347.31 | 9.52x |
| 81003 | Automated urinalysis test | 37.6K | $99.0K | $2.63 | 2.31x |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | 831 | $97.8K | $117.69 | 2.66x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 168 | $89.9K | $535.24 | 3.15x |
| 87798 | Detection test for organism | 2.5K | $86.7K | $34.78 | 3.05x |
| 87641 | Detection test for staphylococcus aureus, methicillin resistant (mrsa bacteria) | 2.5K | $86.7K | $34.75 | 3.05x |
| 87640 | Detection test for staphylococcus aureus (bacteria) | 2.5K | $86.7K | $34.75 | 3.05x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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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