Active NPI 1639314628 Individual Practitioner Male Practitioner

Dr. Gregory Spana , MD

Urology • Dover, DE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Spana, MD is a certified Urology practicing in Dover, DE. With approximately 22 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2004, Dr. Spana delivers high-quality medical care to the local community at 200 BANNING ST.

Dr. Spana is affiliated with Urology Associates Of Delaware Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include bcg live intravesical instillation, 1 mg, detection test for organism, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Banning St
Suite 150

Dover, DE 199043485

Telephone 3027244935

Fax 3026726450

Associated Practice Facility / Clinic

🏢 Urology Associates Of Delaware P.a. Facility NPI 1396730974

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Dover, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -5.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Dover, DE (41 Statewide)

Telehealth Adoption Rate

42.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spana (22 Years) 22 Yrs

Dover Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9030 Bcg live intravesical instillation, 1 mg	3,904	36	$6.00	$2.86
87798 Detection test for organism	2,743	138	$60.00	$34.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,259	829	$190.00	$132.59
84311 Chemical analysis using spectrophotometry (light)	1,200	496	$24.06	$7.89
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	807	606	$35.00	$16.98
51798 Ultrasound measurement of bladder capacity after voiding	739	563	$90.00	$11.64
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	725	146	$123.00	$65.56
81003 Automated urinalysis test	720	564	$6.00	$2.19
82570 Creatinine level to test for kidney function or muscle injury	610	502	$14.31	$5.04
82945 Glucose (sugar) level on body fluid	603	498	$11.96	$3.82
83069 Urine hemoglobin level	603	498	$11.97	$3.84
83986 Body fluid ph level	603	498	$10.95	$3.48
84156 Total protein level, urine	603	498	$11.00	$3.57
82010 Ketone bodies analysis, quantitative	602	498	$24.90	$7.94
82247 Bilirubin level	601	497	$15.01	$4.88
81007 Urinalysis for bacteria	474	413	$90.00	$29.32
51741 Electronic assessment of bladder emptying	320	272	$140.00	$14.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	319	155	$40.00	$24.22
88342 Special stained specimen slides to examine tissue, initial procedure	297	175	$200.00	$35.08
88313 Special stained specimen slides to examine tissue including interpretation and report	283	175	$110.00	$12.19
88112 Cell examination of specimen, selective cellular enhancement technique	281	174	$190.00	$27.80
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	258	103	$95.00	$50.20
84580 Urobilinogen (metabolism substance) level, urine	232	220	$29.00	$9.36
87481 Detection test for candida species (yeast), amplified probe technique	215	138	$100.00	$34.39
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	215	138	$100.00	$34.39
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	215	138	$80.00	$34.39
76770 Complete ultrasound scan behind abdominal cavity	162	157	$300.00	$80.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$281.00	$172.98
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	123	30	$122.00	$64.87
82043 Urine microalbumin (protein) level	122	122	$17.34	$5.66
51700 Simple bladder irrigation and/or instillation	93	69	$185.00	$41.13
52000 Diagnostic exam of bladder and urethra using an endoscope	88	68	$433.00	$246.55
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	86	30	$300.00	$120.89
51720 Instillation of anti-cancer drug into bladder	83	36	$250.00	$92.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	17	$40.00	$14.84
88341 Special stained specimen slides to examine tissue	56	12	$150.00	$28.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	41	$130.00	$81.33
88120 Cell examination of urine, manual	48	25	$720.00	$58.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$200.00	$134.52
51703 Complicated insertion of bladder tube	36	14	$302.00	$155.55
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$128.18	$94.07
51702 Simple insertion of temporary bladder tube	26	20	$178.00	$64.81
52287 Exam with injections of chemical for destruction of bladder using an endoscope	22	15	$580.00	$165.60
88305 Pathology examination of tissue using a microscope, intermediate complexity	18	11	$150.00	$37.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	13	$120.00	$36.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87798 Detection test for organism	3,276	134	$56.60	$34.39
J9030 Bcg live intravesical instillation, 1 mg	1,750	23	$6.00	$2.85
81003 Automated urinalysis test	1,349	883	$6.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,209	814	$190.00	$128.73
51798 Ultrasound measurement of bladder capacity after voiding	596	478	$90.00	$10.85
51741 Electronic assessment of bladder emptying	313	277	$140.00	$14.30
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	252	134	$100.00	$34.39
87481 Detection test for candida species (yeast), amplified probe technique	252	134	$100.00	$34.39
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	252	134	$80.00	$34.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	243	174	$40.00	$23.57
88342 Special stained specimen slides to examine tissue, initial procedure	241	159	$200.00	$34.52
88112 Cell examination of specimen, selective cellular enhancement technique	235	159	$190.00	$27.34
88313 Special stained specimen slides to examine tissue including interpretation and report	234	159	$110.00	$11.94
76770 Complete ultrasound scan behind abdominal cavity	158	155	$300.00	$76.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$281.00	$168.38
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	14	$300.00	$170.44
52000 Diagnostic exam of bladder and urethra using an endoscope	103	88	$433.00	$246.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	22	$40.00	$14.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	44	$130.00	$79.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	55	$200.00	$129.16
82570 Creatinine level to test for kidney function or muscle injury	55	54	$14.00	$4.93
A4648 Tissue marker, implantable, any type, each	50	14	$297.80	$261.81
99213 Established patient office or other outpatient visit, typically 15 minutes	46	41	$122.00	$91.41
51703 Complicated insertion of bladder tube	42	16	$302.00	$152.81
88120 Cell examination of urine, manual	38	23	$720.00	$57.76
51720 Instillation of anti-cancer drug into bladder	35	23	$250.00	$89.35
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	31	16	$300.00	$119.86
50590 Shock wave crushing of kidney stones	28	28	$1600.00	$574.33
51700 Simple bladder irrigation and/or instillation	25	25	$185.00	$42.01
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	15	$120.00	$34.49
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	13	$580.00	$168.67
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	15	15	$700.00	$176.35
55865 Exposure of prostate gland for radiation therapy with removal of surrounding lymph nodes on both sides of pelvis	14	14	$1490.00	$1334.98
55875 Insertion of needle or tube into prostate for radiation therapy	14	14	$1494.00	$392.07
55876 Placement of device in prostate for radiation therapy	14	14	$500.00	$82.59
55874 Injection of biodegradable material next to prostate	13	13	$5000.00	$2976.76
76872 Ultrasound scan of pelvic region through rectum	13	13	$265.00	$137.67
51702 Simple insertion of temporary bladder tube	12	11	$178.00	$62.77
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$800.00	$325.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87150 Identification of organisms by genetic analysis	1,812	97	$65.00	$34.90
J9030 Bcg live intravesical instillation, 1 mg	1,650	12	$6.00	$2.80
81003 Automated urinalysis test	1,491	944	$6.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,449	914	$190.00	$130.37
87798 Detection test for organism	1,359	123	$55.28	$34.46
51798 Ultrasound measurement of bladder capacity after voiding	811	600	$90.00	$10.93
51741 Electronic assessment of bladder emptying	377	309	$140.00	$14.18
88342 Special stained specimen slides to examine tissue, initial procedure	367	209	$200.00	$34.95
88313 Special stained specimen slides to examine tissue including interpretation and report	323	203	$110.00	$12.42
88112 Cell examination of specimen, selective cellular enhancement technique	322	203	$190.00	$27.95
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	231	145	$80.00	$34.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	205	205	$281.00	$169.62
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	204	25	$321.18	$174.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	171	96	$40.00	$23.89
76770 Complete ultrasound scan behind abdominal cavity	169	164	$300.00	$78.82
82570 Creatinine level to test for kidney function or muscle injury	159	150	$14.00	$5.12
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	148	104	$100.00	$34.65
87481 Detection test for candida species (yeast), amplified probe technique	148	104	$100.00	$34.65
88341 Special stained specimen slides to examine tissue	142	21	$150.00	$28.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	121	74	$130.00	$71.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	116	110	$200.00	$136.06
52000 Diagnostic exam of bladder and urethra using an endoscope	91	78	$433.00	$255.33
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	83	62	$80.00	$34.90
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	83	62	$80.00	$34.90
51700 Simple bladder irrigation and/or instillation	72	61	$185.00	$40.16
A4648 Tissue marker, implantable, any type, each	71	28	$324.79	$270.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	31	$40.00	$14.71
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	44	42	$365.00	$59.91
76872 Ultrasound scan of pelvic region through rectum	44	42	$265.00	$144.16
88305 Pathology examination of tissue using a microscope, intermediate complexity	40	19	$150.00	$37.80
J1580 Injection, garamycin, gentamicin, up to 80 mg	36	18	$3.00	$1.95
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$122.00	$92.95
88120 Cell examination of urine, manual	35	25	$720.00	$91.93
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	35	26	$120.00	$34.49
51720 Instillation of anti-cancer drug into bladder	33	12	$250.00	$90.76
51702 Simple insertion of temporary bladder tube	32	13	$178.00	$65.00
55876 Placement of device in prostate for radiation therapy	29	29	$551.72	$79.09
55874 Injection of biodegradable material next to prostate	28	28	$5000.00	$3053.20
52287 Exam with injections of chemical for destruction of bladder using an endoscope	22	16	$580.00	$170.87
51703 Complicated insertion of bladder tube	18	13	$302.00	$157.81
52281 Dilation of bladder canal (urethra) using an endoscope	18	18	$689.00	$346.99
55700 Biopsy of prostate gland	16	16	$492.00	$253.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$190.00	$99.62
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	15	15	$700.00	$179.33
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$800.00	$337.70
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1200.00	$418.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87150 Identification of organisms by genetic analysis	2,004	106	$75.90	$35.09
J9030 Bcg live intravesical instillation, 1 mg	1,500	11	$6.00	$2.85
81003 Automated urinalysis test	1,284	807	$6.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	994	663	$189.93	$132.36
51798 Ultrasound measurement of bladder capacity after voiding	543	399	$90.00	$10.75
88342 Special stained specimen slides to examine tissue, initial procedure	329	194	$200.00	$35.91
99213 Established patient office or other outpatient visit, typically 15 minutes	286	254	$122.00	$93.30
88112 Cell examination of specimen, selective cellular enhancement technique	283	183	$190.00	$28.43
51741 Electronic assessment of bladder emptying	281	230	$140.00	$14.47
88313 Special stained specimen slides to examine tissue including interpretation and report	281	182	$110.00	$12.43
87798 Detection test for organism	280	85	$52.00	$35.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	276	30	$540.00	$175.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	222	107	$40.00	$23.61
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	175	110	$85.94	$35.09
76770 Complete ultrasound scan behind abdominal cavity	166	158	$300.00	$81.02
88341 Special stained specimen slides to examine tissue	151	22	$150.00	$29.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$281.00	$172.05
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	120	79	$86.33	$35.09
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	120	79	$89.50	$35.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	103	97	$200.00	$138.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	50	$130.00	$73.01
52000 Diagnostic exam of bladder and urethra using an endoscope	69	57	$433.00	$245.49
82570 Creatinine level to test for kidney function or muscle injury	66	66	$14.00	$5.18
51700 Simple bladder irrigation and/or instillation	62	46	$185.00	$43.44
A4648 Tissue marker, implantable, any type, each	60	19	$600.00	$247.37
87481 Detection test for candida species (yeast), amplified probe technique	55	47	$100.00	$35.09
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	55	47	$100.00	$35.09
51702 Simple insertion of temporary bladder tube	49	20	$178.00	$66.82
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	30	$120.00	$34.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	40	$76.00	$58.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	19	$40.00	$14.62
76872 Ultrasound scan of pelvic region through rectum	39	39	$265.00	$146.38
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	39	39	$365.00	$60.28
88120 Cell examination of urine, manual	34	25	$720.00	$59.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	23	$84.00	$38.97
51720 Instillation of anti-cancer drug into bladder	30	11	$250.00	$93.11
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	29	17	$300.00	$133.98
88305 Pathology examination of tissue using a microscope, intermediate complexity	26	14	$150.00	$38.41
55874 Injection of biodegradable material next to prostate	25	25	$5000.00	$3361.87
55876 Placement of device in prostate for radiation therapy	24	24	$1000.00	$78.05
50590 Shock wave crushing of kidney stones	23	22	$1578.26	$589.11
51703 Complicated insertion of bladder tube	23	14	$302.00	$155.77
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	20	20	$700.00	$182.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$76.00	$36.86
55700 Biopsy of prostate gland	15	15	$492.00	$262.20
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$716.00	$140.48
52287 Exam with injections of chemical for destruction of bladder using an endoscope	14	11	$580.00	$167.66
52281 Dilation of bladder canal (urethra) using an endoscope	13	13	$689.00	$352.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87150 Identification of organisms by genetic analysis	1,902	83	$100.00	$34.95
J9030 Bcg live intravesical instillation, 1 mg	1,450	16	$6.00	$2.80
81003 Automated urinalysis test	1,313	785	$6.16	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,078	660	$189.94	$111.99
51798 Ultrasound measurement of bladder capacity after voiding	526	396	$90.00	$10.74
87798 Detection test for organism	332	93	$58.34	$34.87
88342 Special stained specimen slides to examine tissue, initial procedure	315	184	$200.00	$37.50
88112 Cell examination of specimen, selective cellular enhancement technique	262	169	$190.00	$29.42
88313 Special stained specimen slides to examine tissue including interpretation and report	260	169	$110.00	$12.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	257	146	$40.00	$24.01
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	253	30	$572.02	$223.46
51741 Electronic assessment of bladder emptying	248	211	$140.00	$15.11
87801 Detection test for multiple organisms	243	56	$100.00	$69.68
87640 Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique	195	101	$100.00	$34.90
99213 Established patient office or other outpatient visit, typically 15 minutes	185	151	$122.00	$76.62
88341 Special stained specimen slides to examine tissue	183	26	$150.00	$30.07
76770 Complete ultrasound scan behind abdominal cavity	174	168	$300.00	$79.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	139	135	$200.00	$142.19
87641 Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique	132	76	$100.00	$34.93
87500 Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique	132	76	$110.00	$34.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	114	61	$84.00	$40.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$281.73	$167.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	90	$247.00	$150.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	87	32	$40.00	$14.75
52000 Diagnostic exam of bladder and urethra using an endoscope	80	69	$433.00	$221.81
87481 Detection test for candida species (yeast), amplified probe technique	63	47	$100.00	$34.83
87653 Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique	63	47	$100.00	$34.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	54	$76.00	$46.56
82570 Creatinine level to test for kidney function or muscle injury	58	55	$14.00	$5.15
51702 Simple insertion of temporary bladder tube	55	18	$178.00	$64.30
51700 Simple bladder irrigation and/or instillation	54	47	$185.00	$42.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	52	33	$117.81	$32.39
A4648 Tissue marker, implantable, any type, each	48	16	$600.00	$229.69
88120 Cell examination of urine, manual	47	31	$720.00	$61.42
88305 Pathology examination of tissue using a microscope, intermediate complexity	44	18	$150.00	$40.13
J1580 Injection, garamycin, gentamicin, up to 80 mg	40	20	$3.00	$1.93
76872 Ultrasound scan of pelvic region through rectum	39	38	$265.00	$150.27
51705 Removal of skin suture with change of bladder tube	36	11	$237.36	$98.36
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	31	$365.00	$59.77
51720 Instillation of anti-cancer drug into bladder	31	16	$250.00	$87.90
51703 Complicated insertion of bladder tube	25	16	$302.00	$142.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$356.32	$215.24
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	19	19	$700.00	$188.23
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	17	13	$300.00	$132.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	13	$710.00	$154.41
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	16	$800.00	$305.49
52281 Dilation of bladder canal (urethra) using an endoscope	16	16	$689.00	$338.56
55874 Injection of biodegradable material next to prostate	16	16	$5000.00	$3234.25
76965 Ultrasonic guidance for administration of radiation therapy	16	16	$540.00	$82.75
55876 Placement of device in prostate for radiation therapy	16	16	$1000.00	$76.84
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	13	$580.00	$179.62
55700 Biopsy of prostate gland	16	16	$492.00	$261.57
50590 Shock wave crushing of kidney stones	15	14	$1500.00	$607.24
55875 Insertion of needle or tube into prostate for radiation therapy	14	14	$1494.00	$782.22
51701 Insertion of temporary bladder tube	14	12	$139.00	$47.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$1200.00	$441.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,451	866	$6.00	$2.43
J9030 Bcg live intravesical instillation, 1 mg	1,150	13	$6.00	$2.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,098	702	$188.10	$110.88
51798 Ultrasound measurement of bladder capacity after voiding	597	424	$90.00	$13.21
88342 Special stained specimen slides to examine tissue, initial procedure	329	197	$200.00	$37.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	324	180	$40.00	$23.37
88112 Cell examination of specimen, selective cellular enhancement technique	267	178	$190.00	$29.50
88313 Special stained specimen slides to examine tissue including interpretation and report	266	177	$110.00	$12.77
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	228	26	$530.79	$224.61
51741 Electronic assessment of bladder emptying	216	175	$140.00	$14.81
88341 Special stained specimen slides to examine tissue	178	35	$150.00	$30.23
99213 Established patient office or other outpatient visit, typically 15 minutes	173	128	$122.00	$75.11
76770 Complete ultrasound scan behind abdominal cavity	142	136	$300.00	$77.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$282.14	$166.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	118	116	$200.00	$141.21
52000 Diagnostic exam of bladder and urethra using an endoscope	95	75	$433.00	$196.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	81	$247.00	$149.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	41	$84.00	$40.60
51700 Simple bladder irrigation and/or instillation	74	54	$185.00	$39.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	42	$40.00	$17.20
J1580 Injection, garamycin, gentamicin, up to 80 mg	70	33	$3.00	$1.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	50	$76.00	$46.53
82570 Creatinine level to test for kidney function or muscle injury	55	54	$14.00	$5.63
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	51	22	$300.00	$132.74
76872 Ultrasound scan of pelvic region through rectum	50	47	$265.00	$132.59
88120 Cell examination of urine, manual	48	37	$720.00	$60.85
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	45	29	$120.00	$31.86
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	45	42	$362.16	$58.91
A4648 Tissue marker, implantable, any type, each	42	14	$600.00	$204.60
51720 Instillation of anti-cancer drug into bladder	42	25	$250.00	$87.98
51702 Simple insertion of temporary bladder tube	41	22	$178.00	$64.17
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	38	37	$700.00	$187.63
88305 Pathology examination of tissue using a microscope, intermediate complexity	36	21	$150.00	$40.09
51703 Complicated insertion of bladder tube	33	17	$302.00	$138.59
52281 Dilation of bladder canal (urethra) using an endoscope	33	32	$681.24	$312.80
55700 Biopsy of prostate gland	31	31	$492.00	$261.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$352.00	$213.07
50590 Shock wave crushing of kidney stones	21	21	$1500.00	$593.28
J9031 Bcg (intravesical) per instillation	19	13	$228.00	$138.88
52287 Exam with injections of chemical for destruction of bladder using an endoscope	17	14	$580.00	$179.26
55874 Injection of biodegradable material next to prostate	15	15	$4500.00	$3617.89
55876 Placement of device in prostate for radiation therapy	14	14	$1000.00	$74.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$645.83	$130.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,436	869	$6.00	$2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,199	779	$183.00	$108.74
51798 Ultrasound measurement of bladder capacity after voiding	641	456	$90.00	$16.25
88112 Cell examination of specimen, selective cellular enhancement technique	272	165	$190.00	$29.39
88313 Special stained specimen slides to examine tissue including interpretation and report	272	165	$110.00	$12.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	264	114	$40.00	$21.99
51741 Electronic assessment of bladder emptying	219	178	$140.00	$16.23
88342 Special stained specimen slides to examine tissue, initial procedure	216	137	$200.00	$37.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	216	25	$540.00	$212.32
99213 Established patient office or other outpatient visit, typically 15 minutes	156	110	$122.00	$74.30
G0452 Molecular pathology procedure; physician interpretation and report	137	94	$50.00	$18.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$281.63	$166.17
82570 Creatinine level to test for kidney function or muscle injury	122	116	$14.00	$6.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	108	102	$200.00	$139.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	96	84	$247.00	$147.80
76770 Complete ultrasound scan behind abdominal cavity	82	78	$300.00	$78.78
88341 Special stained specimen slides to examine tissue	81	20	$150.00	$29.76
52000 Diagnostic exam of bladder and urethra using an endoscope	75	52	$433.00	$170.92
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	68	15	$300.00	$132.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	38	$84.00	$39.96
51700 Simple bladder irrigation and/or instillation	65	43	$185.00	$41.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	41	$40.00	$20.91
J1580 Injection, garamycin, gentamicin, up to 80 mg	58	28	$3.00	$1.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	34	$76.00	$44.76
51720 Instillation of anti-cancer drug into bladder	41	12	$250.00	$86.98
J9031 Bcg (intravesical) per instillation	41	12	$228.00	$135.58
51702 Simple insertion of temporary bladder tube	39	21	$178.00	$66.11
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	38	37	$700.00	$186.09
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	36	25	$120.00	$31.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$352.00	$210.87
88120 Cell examination of urine, manual	32	25	$701.88	$60.59
76872 Ultrasound scan of pelvic region through rectum	31	30	$265.00	$99.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	29	$361.00	$61.22
55700 Biopsy of prostate gland	28	28	$492.00	$257.72
88305 Pathology examination of tissue using a microscope, intermediate complexity	19	11	$150.00	$39.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$184.00	$105.45
52281 Dilation of bladder canal (urethra) using an endoscope	18	18	$689.00	$283.62
51701 Insertion of temporary bladder tube	15	14	$139.00	$48.94
76872 Ultrasound scan of pelvic region through rectum	11	11	$265.00	$34.43
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$361.00	$61.22
55700 Biopsy of prostate gland	11	11	$492.00	$130.49
50590 Shock wave crushing of kidney stones	11	11	$1500.00	$585.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,328	758	$6.00	$3.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,183	731	$183.00	$108.92
51798 Ultrasound measurement of bladder capacity after voiding	544	387	$90.00	$19.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	303	85	$40.00	$20.59
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	300	30	$540.00	$209.19
51741 Electronic assessment of bladder emptying	207	162	$140.00	$16.24
88112 Cell examination of specimen, selective cellular enhancement technique	149	101	$190.00	$29.05
88313 Special stained specimen slides to examine tissue including interpretation and report	148	100	$110.00	$12.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$281.00	$166.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	108	96	$247.00	$147.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	105	99	$196.04	$138.92
82570 Creatinine level to test for kidney function or muscle injury	102	82	$14.00	$6.96
52000 Diagnostic exam of bladder and urethra using an endoscope	85	66	$433.00	$169.22
99213 Established patient office or other outpatient visit, typically 15 minutes	84	64	$122.00	$74.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	36	$40.00	$26.05
51700 Simple bladder irrigation and/or instillation	62	46	$185.00	$38.00
51702 Simple insertion of temporary bladder tube	57	20	$178.00	$64.22
J1580 Injection, garamycin, gentamicin, up to 80 mg	56	27	$3.00	$1.51
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	51	30	$120.00	$33.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	36	$84.00	$39.94
76872 Ultrasound scan of pelvic region through rectum	33	31	$265.00	$97.45
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	28	$361.00	$61.65
55700 Biopsy of prostate gland	29	28	$492.00	$255.43
76770 Complete ultrasound scan behind abdominal cavity	27	27	$300.00	$78.57
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	23	22	$700.00	$186.17
50590 Shock wave crushing of kidney stones	20	20	$1500.00	$570.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$352.00	$200.04
88120 Cell examination of urine, manual	16	14	$700.00	$60.61
52005 Insertion of tube into ureter using an endoscope through bladder area	16	16	$616.00	$126.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$600.00	$137.07
51701 Insertion of temporary bladder tube	15	12	$139.00	$48.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$184.00	$110.30

Medical Specialties & State Licenses

CMS Verified: 2020-02-20

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License DE C1-0009647

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Taxonomy

208800000X (DE)

Hospital & Practice Group Affiliations

Urology Associates Of Delaware Pa

200 Banning St, Dover, DE 199043492

Phone: 3027361320103