This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Urology providers nationally.
Medicare payments to this provider grew 684% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 220% in 2015
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 | $222.67 | $87.78 | 2.54x | $134.89 | $68.2K | 1.5K | 1.3K |
| 2015 | $437.61 | $107.66 | 4.06x | $329.95 | $218.4K | 3.7K | 2.4K |
| 2016 | $359.40 | $100.62 | 3.57x | $258.78 | $255.6K | 4.4K | 2.8K |
| 2017 | $371.12 | $107.33 | 3.46x | $263.79 | $238.2K | 4.2K | 2.7K |
| 2018 | $352.58 | $99.79 | 3.53x | $252.79 | $241.9K | 4.3K | 2.8K |
| 2019 | $348.48 | $97.54 | 3.57x | $250.94 | $242.5K | 4.1K | 2.8K |
| 2020 | $270.30 | $83.72 | 3.23x | $186.58 | $217.3K | 4.0K | 3.0K |
| 2021 | $304.63 | $100.66 | 3.03x | $203.97 | $669.1K | 15.6K | 7.8K |
| 2022 | $307.22 | $97.39 | 3.15x | $209.83 | $589.3K | 13.8K | 7.0K |
| 2023 | $272.23 | $87.61 | 3.11x | $184.62 | $534.6K | 12.7K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.5K | $619.9K | $82.78 | 1.81x |
| 87801 | Detection test for multiple organisms | 4.7K | $326.3K | $69.18 | 1.44x |
| 50590 | Shock wave crushing of kidney stones | 543 | $262.4K | $483.15 | 2.59x |
| 87641 | Detection test for staphylococcus aureus, methicillin resistant (mrsa bacteria) | 4.7K | $163.6K | $34.67 | 1.44x |
| 87500 | Detection test for vancomycin resistance strep (vre) | 4.7K | $163.6K | $34.67 | 1.44x |
| 87481 | Detection test for candida species (yeast) | 4.7K | $163.6K | $34.67 | 1.44x |
| 87640 | Detection test for staphylococcus aureus (bacteria) | 4.7K | $163.6K | $34.67 | 1.44x |
| 87653 | Detection test for strep (streptococcus, group b) | 4.7K | $163.6K | $34.67 | 1.44x |
| 87798 | Detection test for organism | 4.7K | $163.5K | $34.66 | 1.44x |
| 87651 | Detection test for strep (streptococcus, group a) | 4.7K | $163.5K | $34.67 | 1.44x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 1.9K | $152.3K | $80.32 | 5.04x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 220 | $129.3K | $587.70 | 5.84x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 759 | $126.2K | $166.31 | 1.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.5K | $87.5K | $57.31 | 1.75x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 4.9K | $63.5K | $12.96 | 3.09x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 730 | $58.7K | $80.47 | 2.32x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 314 | $37.7K | $119.99 | 1.88x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 243 | $32.2K | $132.54 | 1.96x |
| 51729 | Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies | 109 | $29.9K | $274.38 | 1.71x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 1.0K | $25.1K | $24.69 | 4.05x |
This provider submits charges 2.13 times higher than what Medicare actually pays.
A markup ratio of 2.13x means for every $100 Medicare pays, this provider initially charges $213. 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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