Active NPI 1205060175 Individual Practitioner Male Practitioner

Dr. Jason Bourque , MD

Urology • Lafayette, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jason Bourque, MD is a certified Urology practicing in Lafayette, LA. With approximately 17 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2009, Dr. Bourque delivers high-quality medical care to the local community at 120 RUE LOUIS XIV.

Dr. Bourque is affiliated with Southern Urology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 Rue Louis Xiv

Lafayette, LA 705085739

Telephone 3377697779

Associated Practice Facility / Clinic

🏢 Southern Urology Llc Facility NPI 1174232532

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Lafayette, LA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -10.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Lafayette, LA (217 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bourque (17 Years) 17 Yrs

Lafayette Specialty Average (27.0 Years) 27.0 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	955	157	$180.00	$60.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	949	749	$250.00	$122.46
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	705	609	$48.00	$16.15
81003 Automated urinalysis test	631	459	$30.00	$2.19
J1952 Leuprolide injectable, camcevi, 1 mg	588	12	$350.00	$58.16
36415 Insertion of needle into vein for collection of blood sample	405	327	$20.00	$8.59
84153 Psa (prostate specific antigen) measurement, total	390	320	$60.00	$17.94
51798 Ultrasound measurement of bladder capacity after voiding	313	262	$52.00	$10.10
81001 Manual urinalysis test with examination using microscope, automated	285	212	$30.00	$3.10
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	281	117	$146.80	$46.27
87084 Screening test for pathogenic organisms with colony count	139	106	$45.00	$26.38
81000 Manual urinalysis test with examination using microscope, non-automated	134	121	$19.00	$3.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$390.00	$159.08
52000 Diagnostic exam of bladder and urethra using an endoscope	118	109	$580.00	$220.73
76775 Limited ultrasound scan behind abdominal cavity	89	80	$225.00	$56.08
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	89	23	$180.00	$60.17
J0696 Injection, ceftriaxone sodium, per 250 mg	84	21	$30.00	$0.42
74021 X-ray of abdomen, minimum of 3 views	57	47	$135.00	$39.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	35	$185.00	$77.09
84403 Testosterone (hormone) level, total	50	36	$80.00	$24.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	27	$57.00	$13.37
80048 Blood test, basic group of blood chemicals (calcium, total)	40	36	$35.00	$8.29
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	37	29	$30.00	$7.33
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	33	26	$28.00	$6.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	28	$340.00	$174.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	28	$55.00	$21.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$340.00	$128.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	26	$105.00	$48.68
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$165.00	$87.24
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	20	$85.00	$32.63
74420 Imaging of urinary tract	23	21	$250.00	$23.10
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	22	22	$1130.73	$180.35
80053 Blood test, comprehensive group of blood chemicals	22	21	$53.00	$10.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	21	$1500.00	$110.32
55700 Biopsy of prostate gland	21	21	$600.00	$220.71
76872 Ultrasound scan of pelvic region through rectum	20	20	$250.00	$119.87
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	16	$2500.00	$387.86
82670 Measurement of total estradiol (hormone)	17	16	$120.00	$27.38
76856 Complete ultrasound scan of pelvis	16	16	$325.00	$97.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$500.00	$170.25
51701 Insertion of temporary bladder tube	15	15	$150.00	$42.57
51700 Simple bladder irrigation and/or instillation	15	13	$185.00	$60.91
88112 Cell examination of specimen, selective cellular enhancement technique	12	12	$300.00	$37.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml	6,300	17	$0.50	$0.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,053	767	$250.00	$121.30
J1952 Leuprolide injectable, camcevi, 1 mg	756	13	$350.00	$83.24
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	655	152	$180.00	$59.89
81003 Automated urinalysis test	567	412	$30.00	$2.18
36415 Insertion of needle into vein for collection of blood sample	494	397	$20.00	$8.35
84153 Psa (prostate specific antigen) measurement, total	467	384	$60.00	$17.93
81001 Manual urinalysis test with examination using microscope, automated	449	308	$30.00	$3.10
81000 Manual urinalysis test with examination using microscope, non-automated	259	216	$19.00	$3.87
87084 Screening test for pathogenic organisms with colony count	221	162	$45.00	$26.13
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	195	111	$150.00	$44.96
52000 Diagnostic exam of bladder and urethra using an endoscope	176	158	$580.00	$220.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$390.00	$158.52
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	146	113	$31.92	$7.25
51798 Ultrasound measurement of bladder capacity after voiding	108	99	$52.00	$9.52
76775 Limited ultrasound scan behind abdominal cavity	106	98	$225.00	$55.41
J0696 Injection, ceftriaxone sodium, per 250 mg	96	24	$30.00	$0.49
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	89	20	$2000.00	$765.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	41	$185.00	$77.42
84403 Testosterone (hormone) level, total	63	47	$80.00	$25.29
80048 Blood test, basic group of blood chemicals (calcium, total)	57	55	$35.00	$8.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	43	$57.00	$12.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	44	$55.00	$21.38
99213 Established patient office or other outpatient visit, typically 15 minutes	52	51	$165.00	$86.10
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	43	38	$28.00	$6.34
81002 Urinalysis, manual test	42	40	$15.40	$3.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	36	$340.00	$127.50
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	38	15	$180.00	$58.80
80053 Blood test, comprehensive group of blood chemicals	38	34	$53.00	$10.35
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	24	$85.00	$31.03
76856 Complete ultrasound scan of pelvis	30	30	$325.00	$97.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	25	$1488.46	$122.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	23	$105.00	$48.86
55700 Biopsy of prostate gland	25	25	$600.00	$218.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$340.00	$166.27
76872 Ultrasound scan of pelvic region through rectum	23	23	$250.00	$115.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$500.00	$169.73
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	23	23	$823.00	$159.98
51700 Simple bladder irrigation and/or instillation	22	19	$185.00	$71.10
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	21	17	$210.00	$38.52
74019 X-ray of abdomen, 2 views	20	20	$90.00	$34.17
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	20	20	$3000.00	$1122.46
51600 Injection procedure for X-ray imaging of the bladder or during voiding	20	16	$450.00	$190.47
74021 X-ray of abdomen, minimum of 3 views	19	19	$135.00	$39.69
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$450.00	$55.05
82670 Measurement of total estradiol (hormone)	19	17	$120.00	$27.38
J3260 Injection, tobramycin sulfate, up to 80 mg	16	16	$35.00	$2.47
51741 Electronic assessment of bladder emptying	15	14	$145.00	$7.65
74018 X-ray of abdomen, 1 view	13	12	$75.00	$26.17
74420 Imaging of urinary tract	12	11	$250.00	$22.87
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	11	$530.00	$27.83
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$2500.00	$384.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml	4,800	14	$0.50	$0.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,026	730	$250.00	$122.73
81003 Automated urinalysis test	651	405	$25.28	$2.22
36415 Insertion of needle into vein for collection of blood sample	486	379	$20.00	$2.95
81001 Manual urinalysis test with examination using microscope, automated	472	315	$19.11	$3.14
84153 Psa (prostate specific antigen) measurement, total	446	363	$60.00	$18.13
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	264	25	$3000.00	$176.28
87084 Screening test for pathogenic organisms with colony count	254	195	$45.00	$26.74
81000 Manual urinalysis test with examination using microscope, non-automated	241	196	$19.00	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	176	176	$390.00	$162.42
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	159	135	$30.00	$7.39
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	156	35	$2000.00	$821.30
52000 Diagnostic exam of bladder and urethra using an endoscope	141	124	$580.00	$229.42
76775 Limited ultrasound scan behind abdominal cavity	98	87	$225.00	$55.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	47	$185.00	$69.77
51798 Ultrasound measurement of bladder capacity after voiding	75	72	$52.00	$9.45
84403 Testosterone (hormone) level, total	55	38	$80.00	$24.97
99213 Established patient office or other outpatient visit, typically 15 minutes	51	49	$165.00	$87.55
76856 Complete ultrasound scan of pelvis	47	47	$325.00	$100.19
81002 Urinalysis, manual test	44	41	$11.22	$3.42
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	44	25	$85.00	$30.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$500.00	$194.32
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	43	23	$180.00	$61.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	38	$340.00	$172.96
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	35	35	$3000.00	$1210.67
80048 Blood test, basic group of blood chemicals (calcium, total)	33	32	$35.00	$8.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	27	$57.00	$13.54
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	29	$1562.50	$107.81
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	28	23	$27.97	$6.38
74019 X-ray of abdomen, 2 views	28	24	$90.00	$34.54
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	26	$55.00	$21.45
80053 Blood test, comprehensive group of blood chemicals	27	23	$53.00	$10.41
J3260 Injection, tobramycin sulfate, up to 80 mg	21	16	$35.00	$2.29
88112 Cell examination of specimen, selective cellular enhancement technique	20	18	$300.00	$34.86
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$450.00	$55.41
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	17	14	$150.00	$45.90
74021 X-ray of abdomen, minimum of 3 views	17	17	$135.00	$40.51
55899 Other procedure on male genital system	16	16	$500.00	$82.20
51741 Electronic assessment of bladder emptying	16	16	$145.00	$6.78
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$530.00	$30.96
51701 Insertion of temporary bladder tube	16	16	$150.00	$43.68
74420 Imaging of urinary tract	16	15	$250.00	$24.22
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	16	14	$210.00	$38.34
51700 Simple bladder irrigation and/or instillation	16	15	$185.00	$72.92
50590 Shock wave crushing of kidney stones	15	14	$3250.00	$565.50
50543 Partial removal of kidney using an endoscope	15	15	$3721.33	$1244.99
51600 Injection procedure for X-ray imaging of the bladder or during voiding	14	12	$378.57	$203.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$340.00	$124.13
76872 Ultrasound scan of pelvic region through rectum	14	14	$250.00	$32.15
55700 Biopsy of prostate gland	14	14	$600.00	$130.01
76998 Ultrasonic guidance during surgery	13	13	$500.00	$63.15
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	13	13	$4850.00	$1276.41
74018 X-ray of abdomen, 1 view	12	12	$75.00	$28.29
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$2260.00	$333.37
76872 Ultrasound scan of pelvic region through rectum	11	11	$250.00	$128.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml	6,300	20	$0.50	$0.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	969	636	$250.00	$124.65
81003 Automated urinalysis test	624	392	$20.00	$2.22
81001 Manual urinalysis test with examination using microscope, automated	505	314	$15.00	$3.15
36415 Insertion of needle into vein for collection of blood sample	426	342	$20.00	$2.99
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	390	45	$3000.00	$179.70
84153 Psa (prostate specific antigen) measurement, total	372	313	$60.00	$18.32
81000 Manual urinalysis test with examination using microscope, non-automated	286	209	$19.00	$3.97
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	244	52	$2000.00	$890.88
87084 Screening test for pathogenic organisms with colony count	230	174	$39.77	$26.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$390.00	$163.87
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	143	115	$30.00	$7.40
52000 Diagnostic exam of bladder and urethra using an endoscope	135	129	$580.00	$218.58
J0696 Injection, ceftriaxone sodium, per 250 mg	84	21	$30.00	$0.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	44	$185.00	$71.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	66	45	$85.00	$30.30
76775 Limited ultrasound scan behind abdominal cavity	56	48	$225.00	$55.41
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	52	52	$3000.00	$1267.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	50	46	$55.00	$21.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	46	$500.00	$197.83
76856 Complete ultrasound scan of pelvis	43	43	$325.00	$100.28
51798 Ultrasound measurement of bladder capacity after voiding	42	39	$52.00	$9.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	39	$340.00	$176.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	27	$57.00	$13.22
74019 X-ray of abdomen, 2 views	31	21	$90.00	$34.46
80053 Blood test, comprehensive group of blood chemicals	27	22	$53.00	$10.56
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	25	21	$27.81	$6.47
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$165.00	$88.72
84403 Testosterone (hormone) level, total	23	15	$80.00	$25.81
51600 Injection procedure for X-ray imaging of the bladder or during voiding	21	20	$350.00	$197.54
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	21	20	$210.00	$36.46
51700 Simple bladder irrigation and/or instillation	20	13	$185.00	$75.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	17	$1684.21	$132.69
74021 X-ray of abdomen, minimum of 3 views	19	18	$135.00	$39.87
76872 Ultrasound scan of pelvic region through rectum	19	19	$250.00	$128.82
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	18	18	$823.00	$155.01
55700 Biopsy of prostate gland	18	18	$600.00	$234.49
76872 Ultrasound scan of pelvic region through rectum	17	17	$250.00	$30.91
55700 Biopsy of prostate gland	17	17	$600.00	$125.18
50590 Shock wave crushing of kidney stones	17	15	$2485.29	$543.51
81002 Urinalysis, manual test	15	15	$11.22	$3.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$352.31	$134.71
80048 Blood test, basic group of blood chemicals (calcium, total)	13	12	$35.00	$8.46
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$4850.00	$1395.41
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$2260.00	$335.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml	4,300	16	$0.50	$0.06
81003 Automated urinalysis test	496	368	$19.98	$2.21
99213 Established patient office or other outpatient visit, typically 15 minutes	477	392	$165.00	$72.08
81001 Manual urinalysis test with examination using microscope, automated	379	256	$15.00	$3.15
36415 Insertion of needle into vein for collection of blood sample	364	296	$20.00	$2.98
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	339	36	$2393.81	$217.25
84153 Psa (prostate specific antigen) measurement, total	298	249	$60.00	$18.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	235	$250.00	$104.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	207	207	$390.00	$160.31
81000 Manual urinalysis test with examination using microscope, non-automated	196	155	$19.00	$3.97
87084 Screening test for pathogenic organisms with colony count	155	113	$38.00	$26.50
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	110	85	$30.00	$7.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	106	91	$340.00	$136.61
52000 Diagnostic exam of bladder and urethra using an endoscope	106	98	$580.00	$198.09
J0696 Injection, ceftriaxone sodium, per 250 mg	68	17	$30.00	$0.58
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	58	37	$85.00	$29.51
76775 Limited ultrasound scan behind abdominal cavity	53	51	$225.00	$55.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	38	$500.00	$202.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	21	$185.00	$72.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	21	$55.00	$21.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	17	$57.00	$13.64
84403 Testosterone (hormone) level, total	28	16	$80.00	$25.72
80053 Blood test, comprehensive group of blood chemicals	26	23	$53.00	$10.51
80048 Blood test, basic group of blood chemicals (calcium, total)	26	25	$35.00	$8.39
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	24	21	$27.81	$6.44
81002 Urinalysis, manual test	23	19	$11.22	$3.29
51798 Ultrasound measurement of bladder capacity after voiding	22	20	$52.00	$9.38
74019 X-ray of abdomen, 2 views	22	15	$90.00	$33.58
G0103 Prostate cancer screening; prostate specific antigen test (psa)	17	17	$55.00	$19.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	14	$1512.50	$121.25
51700 Simple bladder irrigation and/or instillation	16	15	$185.00	$68.95
76872 Ultrasound scan of pelvic region through rectum	15	15	$250.00	$123.75
55700 Biopsy of prostate gland	15	15	$600.00	$225.27
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	15	15	$823.00	$143.65
74430 Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views	14	14	$210.00	$33.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$105.00	$39.62
51600 Injection procedure for X-ray imaging of the bladder or during voiding	14	14	$350.00	$173.14
50590 Shock wave crushing of kidney stones	12	11	$2250.00	$582.79
50543 Partial removal of kidney using an endoscope	12	12	$3785.83	$1320.60
76998 Ultrasonic guidance during surgery	11	11	$500.00	$65.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	550	422	$165.00	$71.46
81000 Manual urinalysis test with examination using microscope, non-automated	548	410	$19.00	$3.91
36415 Insertion of needle into vein for collection of blood sample	297	235	$11.75	$2.92
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	267	27	$2100.00	$227.00
84153 Psa (prostate specific antigen) measurement, total	244	198	$60.00	$19.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	175	$250.00	$103.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	174	174	$390.00	$158.62
81001 Manual urinalysis test with examination using microscope, automated	158	128	$15.00	$3.45
81003 Automated urinalysis test	148	136	$20.00	$2.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	79	$500.00	$198.98
52000 Diagnostic exam of bladder and urethra using an endoscope	77	71	$580.00	$177.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	53	$340.00	$139.38
87084 Screening test for pathogenic organisms with colony count	60	50	$38.00	$26.53
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	59	50	$30.00	$7.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	35	$185.00	$72.22
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	46	28	$85.00	$28.67
51798 Ultrasound measurement of bladder capacity after voiding	41	38	$52.00	$11.60
80048 Blood test, basic group of blood chemicals (calcium, total)	29	25	$35.00	$9.21
76775 Limited ultrasound scan behind abdominal cavity	27	25	$225.00	$54.45
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	22	$1500.00	$134.41
51700 Simple bladder irrigation and/or instillation	18	17	$185.00	$70.78
51701 Insertion of temporary bladder tube	18	18	$150.00	$43.14
76872 Ultrasound scan of pelvic region through rectum	13	13	$250.00	$118.70
55700 Biopsy of prostate gland	13	13	$600.00	$240.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	454	330	$19.00	$3.87
99213 Established patient office or other outpatient visit, typically 15 minutes	247	222	$163.54	$67.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	124	$250.00	$99.00
36415 Insertion of needle into vein for collection of blood sample	139	134	$11.06	$2.93
84153 Psa (prostate specific antigen) measurement, total	129	124	$60.00	$22.13
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	19	$2002.50	$215.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$390.00	$154.07
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	43	36	$30.00	$8.04
87084 Screening test for pathogenic organisms with colony count	43	36	$38.00	$25.41
52000 Diagnostic exam of bladder and urethra using an endoscope	42	42	$576.90	$151.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$500.00	$195.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	23	$185.00	$70.26
51798 Ultrasound measurement of bladder capacity after voiding	32	31	$51.63	$14.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$340.00	$136.74
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	19	$85.00	$27.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$101.00	$38.21
80048 Blood test, basic group of blood chemicals (calcium, total)	14	14	$35.00	$9.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$340.00	$132.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$490.00	$196.52
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$142.00	$50.67
51701 Insertion of temporary bladder tube	11	11	$150.73	$42.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	89	$125.00	$66.45
99213 Established patient office or other outpatient visit, typically 15 minutes	130	90	$142.00	$48.90
51798 Ultrasound measurement of bladder capacity after voiding	73	58	$40.00	$17.09
81003 Automated urinalysis test	64	52	$19.00	$3.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$275.00	$150.09
36415 Insertion of needle into vein for collection of blood sample	43	28	$20.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$322.00	$125.85
52000 Diagnostic exam of bladder and urethra using an endoscope	37	32	$581.00	$98.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$209.00	$75.52
52000 Diagnostic exam of bladder and urethra using an endoscope	29	21	$450.00	$149.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$235.00	$131.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$175.00	$98.30
55700 Biopsy of prostate gland	11	11	$525.00	$225.40
76872 Ultrasound scan of pelvic region through rectum	11	11	$320.00	$85.57
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$340.00	$54.66

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License LA 307858

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.

Urology

NUCC Taxonomy Code: 208800000X

State License TX 10033777

Urology

NUCC Taxonomy Code: 208800000X

State License TX Q3854

Hospital & Practice Group Affiliations

Southern Urology Llc

120 Rue Louis Xiv, Lafayette, LA 705085739

Phone: 3376001678

Southern Urology Llc

118 N Hospital Dr, Abbeville, LA 705104039

Phone: 3378930044

Southern Urology Llc

1926 S Union St, Opelousas, LA 705705725

Phone: 3375944025

Southern Urology Llc

1325 Wright Ave, Crowley, LA 705262226

Phone: 3372336665

Secondary Practice Locations

200 Beaullieu Dr Ste 7

Lafayette, LA 705087230

Phone: 3372332455

2401 S 31st St

Temple, TX 765080001

Phone: 2547242111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. James Russo , MD

Radiology - Radiation Oncology

NPI 1376700591

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location March 17, 2018

Registered at 120 RUE LOUIS XIV, LAFAYETTE, LA 705085739 (Tel: 3377697779)

📍

Updated Business Mailing Address March 17, 2018

Registered at 120 RUE LOUIS XIV, LAFAYETTE, LA 705085739 (Tel: 3377697779)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Urology (License #10033777 in TX)

📍

Updated Practice Location February 27, 2018

Registered at 120 RUE LOUIS XIV, LAFAYETTE, LA 705085739 (Tel: 3377697779)

📍

Updated Business Mailing Address February 27, 2018

Registered at 120 RUE LOUIS XIV, LAFAYETTE, LA 705085739 (Tel: 3377697779)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2018

Urology (License #10033777 in TX)

✅

NPI Profile Active July 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2015

Registered at 2401 S 31ST ST, TEMPLE, TX 765080001 (Tel: 2547242111)

📍

Updated Business Mailing Address July 31, 2015

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547248800)

👤

Provider Name / Credentials Updated July 31, 2015

Recorded as JASON BOURQUE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2015

Urology (License #Q3854 in TX)

🟢

Initial NPI Registration & Enumeration May 07, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1205060175

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 07, 2009

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 Rue Louis Xiv

Lafayette, LA 705085739

Phone: 3377697779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.