This provider averages 62 services per working day
Based on 155.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.7M in total Medicare payments ranks in the 99th percentile of Urology providers nationally.
Averaging 62 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 | $473.93 | $116.21 | 4.08x | $357.72 | $831.8K | 13.0K | 6.6K |
| 2015 | $672.23 | $141.45 | 4.75x | $530.78 | $790.1K | 11.9K | 5.7K |
| 2016 | $419.75 | $114.27 | 3.67x | $305.48 | $929.0K | 13.3K | 6.2K |
| 2017 | $604.87 | $101.50 | 5.96x | $503.37 | $1.1M | 16.7K | 7.5K |
| 2018 | $708.73 | $136.44 | 5.19x | $572.29 | $1.2M | 18.4K | 8.1K |
| 2019 | $600.91 | $145.19 | 4.14x | $455.72 | $1.4M | 21.1K | 9.5K |
| 2020 | $578.19 | $134.99 | 4.28x | $443.20 | $988.0K | 15.0K | 7.1K |
| 2021 | $504.26 | $123.35 | 4.09x | $380.91 | $1.1M | 14.4K | 8.1K |
| 2022 | $660.39 | $169.76 | 3.89x | $490.63 | $1.2M | 15.6K | 8.3K |
| 2023 | $734.38 | $200.70 | 3.66x | $533.68 | $1.2M | 15.6K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 48.7K | $2.8M | $57.31 | 2.51x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 34.4K | $2.1M | $61.44 | 1.70x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.0K | $1.2M | $100.18 | 2.90x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 4.3K | $1.1M | $260.02 | 3.31x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 5.9K | $988.3K | $166.72 | 2.06x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 6.3K | $822.7K | $131.23 | 2.25x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.8K | $285.6K | $162.35 | 6.11x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 6.6K | $215.5K | $32.81 | 2.33x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 13.6K | $167.4K | $12.28 | 6.49x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 833 | $157.6K | $189.25 | 2.59x |
| 55700 | Biopsy of prostate gland | 425 | $86.9K | $204.58 | 2.44x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 109 | $67.8K | $622.08 | 4.82x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 171 | $60.8K | $355.83 | 7.31x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 219 | $52.5K | $239.52 | 2.31x |
| 51720 | Bladder instillation of cancer preventive, inhibiting, or suppressive agent | 648 | $51.6K | $79.57 | 4.27x |
| 96402 | Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle | 1.8K | $49.8K | $27.59 | 3.51x |
| 81002 | Urinalysis, manual test | 12.5K | $42.9K | $3.43 | 2.91x |
| 76872 | Ultrasound of rectum | 383 | $42.5K | $111.08 | 3.13x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 344 | $37.6K | $109.36 | 13.72x |
| J9031 | Bcg (intravesical) per instillation | 317 | $32.3K | $101.96 | 2.94x |
This provider submits charges 2.73 times higher than what Medicare actually pays.
A markup ratio of 2.73x means for every $100 Medicare pays, this provider initially charges $273. 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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