This provider averages 60 services per working day
Based on 149.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.5M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 60 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 55% from 2014 to 2023.
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 | $210.30 | $135.44 | 1.55x | $74.86 | $782.0K | 12.5K | 7.8K |
| 2015 | $195.52 | $131.91 | 1.48x | $63.61 | $679.2K | 11.3K | 7.4K |
| 2016 | $195.53 | $129.60 | 1.51x | $65.93 | $712.2K | 12.2K | 7.8K |
| 2017 | $198.74 | $126.68 | 1.57x | $72.06 | $687.8K | 11.7K | 7.5K |
| 2018 | $250.55 | $125.38 | 2.00x | $125.17 | $782.2K | 12.7K | 8.2K |
| 2019 | $245.35 | $131.99 | 1.86x | $113.36 | $783.2K | 12.9K | 8.0K |
| 2020 | $198.77 | $133.87 | 1.48x | $64.90 | $881.8K | 17.0K | 9.7K |
| 2021 | $209.61 | $136.12 | 1.54x | $73.49 | $1.0M | 19.2K | 10.7K |
| 2022 | $208.20 | $124.94 | 1.67x | $83.26 | $957.4K | 18.6K | 10.8K |
| 2023 | $212.00 | $120.66 | 1.76x | $91.34 | $1.2M | 20.9K | 11.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 27.0K | $2.1M | $77.03 | 1.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.2K | $755.7K | $53.40 | 1.46x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 5.4K | $717.8K | $133.74 | 1.48x |
| 76770 | Ultrasound behind abdominal cavity | 8.0K | $632.2K | $78.88 | 1.73x |
| 50590 | Shock wave crushing of kidney stones | 723 | $336.6K | $465.52 | 1.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.7K | $295.3K | $110.58 | 1.50x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 30.0K | $290.8K | $9.68 | 1.97x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 529 | $288.3K | $544.90 | 1.34x |
| 88120 | Cell examination of urine, manual | 646 | $284.7K | $440.70 | 1.88x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 786 | $264.7K | $336.71 | 1.49x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.4K | $215.7K | $159.05 | 1.45x |
| 87798 | Detection test for organism | 5.0K | $172.3K | $34.60 | 2.26x |
| 87640 | Detection test for staphylococcus aureus (bacteria) | 5.0K | $172.3K | $34.57 | 2.26x |
| 87481 | Detection test for candida species (yeast) | 5.0K | $172.2K | $34.59 | 2.26x |
| 87653 | Detection test for strep (streptococcus, group b) | 5.0K | $172.2K | $34.55 | 2.27x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 618 | $142.1K | $230.00 | 1.36x |
| 55700 | Biopsy of prostate gland | 720 | $122.9K | $170.74 | 1.40x |
| 51705 | Removal of skin suture with change of bladder tube | 1.8K | $119.9K | $66.21 | 1.37x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 556 | $105.8K | $190.20 | 1.37x |
| 50386 | Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation | 183 | $97.0K | $529.87 | 1.39x |
This provider submits charges 1.64 times higher than what Medicare actually pays.
A markup ratio of 1.64x means for every $100 Medicare pays, this provider initially charges $164. 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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