Active NPI 1912093709 Individual Practitioner Male Practitioner

Dr. Thad Alexander Bourque , MD

Urology • Lafayette, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thad Bourque, MD is a certified Urology practicing in Lafayette, LA. With approximately 35 years of clinical experience since graduating from Louisiana State University School Of Medicine In Shreveport in 1991, Dr. Bourque delivers high-quality medical care to the local community at 120 RUE LOUIS XIV, BLDG 2.

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

Frequently performed procedures and clinical services include injection, testosterone cypionate, 1 mg, injection, onabotulinumtoxina, 1 unit, 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

120 Rue Louis Xiv, Bldg 2

Lafayette, LA 705085783

Telephone 3372336665

Fax 3375340179

Associated Practice Facility / Clinic

🏢 Neusetzer Medical Corporation Facility NPI 1528148111

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Lafayette, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +8.0 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

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bourque (35 Years) 35 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
J1071 Injection, testosterone cypionate, 1 mg	32,050	15	$1.00	$0.02
J0585 Injection, onabotulinumtoxina, 1 unit	1,700	14	$15.00	$6.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,440	945	$250.00	$123.11
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	1,023	735	$48.00	$16.13
J1952 Leuprolide injectable, camcevi, 1 mg	924	16	$350.00	$57.31
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	796	118	$180.00	$60.73
36415 Insertion of needle into vein for collection of blood sample	733	498	$20.00	$8.65
81003 Automated urinalysis test	681	461	$30.00	$2.20
84153 Psa (prostate specific antigen) measurement, total	620	469	$60.00	$17.97
81001 Manual urinalysis test with examination using microscope, automated	492	304	$30.00	$3.09
J0696 Injection, ceftriaxone sodium, per 250 mg	472	110	$30.00	$0.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	305	127	$57.00	$13.56
84403 Testosterone (hormone) level, total	248	191	$80.00	$25.21
51798 Ultrasound measurement of bladder capacity after voiding	226	188	$52.00	$10.07
87084 Screening test for pathogenic organisms with colony count	223	147	$45.00	$26.42
80053 Blood test, comprehensive group of blood chemicals	216	118	$53.00	$10.31
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	202	77	$147.77	$46.32
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	152	107	$28.00	$6.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	141	17	$4000.00	$165.04
52000 Diagnostic exam of bladder and urethra using an endoscope	130	106	$580.00	$219.90
A4648 Tissue marker, implantable, any type, each	128	69	$461.80	$229.86
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	116	76	$30.00	$7.33
99213 Established patient office or other outpatient visit, typically 15 minutes	115	105	$165.74	$87.31
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	93	21	$180.00	$60.20
55876 Placement of device in prostate for radiation therapy	83	83	$400.00	$73.09
55874 Injection of biodegradable material next to prostate	83	82	$7500.00	$2575.53
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	83	83	$450.00	$55.15
76775 Limited ultrasound scan behind abdominal cavity	78	76	$225.00	$55.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	38	$185.00	$77.15
74021 X-ray of abdomen, minimum of 3 views	69	64	$135.00	$39.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	49	34	$85.00	$32.20
51701 Insertion of temporary bladder tube	48	42	$150.00	$42.57
80048 Blood test, basic group of blood chemicals (calcium, total)	40	34	$35.00	$8.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	35	$105.00	$54.18
71046 X-ray of chest, 2 views	37	26	$90.00	$31.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	30	$105.00	$48.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$340.00	$127.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$390.00	$161.77
55700 Biopsy of prostate gland	30	30	$600.00	$217.78
81000 Manual urinalysis test with examination using microscope, non-automated	28	20	$19.00	$3.80
74420 Imaging of urinary tract	26	26	$250.00	$23.83
76872 Ultrasound scan of pelvic region through rectum	26	26	$250.00	$123.25
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	26	26	$1213.58	$179.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$500.00	$170.25
51700 Simple bladder irrigation and/or instillation	19	17	$185.00	$71.84
74019 X-ray of abdomen, 2 views	18	16	$90.00	$33.91
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	17	$1500.00	$146.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	13	$55.00	$21.80
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	13	$866.00	$363.88
81002 Urinalysis, manual test	14	14	$20.00	$3.41
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$700.00	$301.33
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$530.00	$33.22
51741 Electronic assessment of bladder emptying	11	11	$145.00	$6.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	33,100	18	$1.00	$0.03
J0897 Injection, denosumab, 1 mg	3,184	16	$79.57	$23.40
J0585 Injection, onabotulinumtoxina, 1 unit	2,800	19	$15.00	$6.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,301	880	$250.00	$120.91
36415 Insertion of needle into vein for collection of blood sample	1,009	593	$20.00	$8.36
J1952 Leuprolide injectable, camcevi, 1 mg	924	20	$350.00	$79.06
81003 Automated urinalysis test	813	578	$30.00	$2.19
84153 Psa (prostate specific antigen) measurement, total	754	530	$60.00	$17.98
81001 Manual urinalysis test with examination using microscope, automated	649	431	$30.00	$3.09
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	649	144	$180.00	$59.89
80053 Blood test, comprehensive group of blood chemicals	404	143	$53.00	$10.31
J0696 Injection, ceftriaxone sodium, per 250 mg	340	79	$30.00	$0.50
87084 Screening test for pathogenic organisms with colony count	323	232	$45.00	$26.31
84403 Testosterone (hormone) level, total	314	185	$80.00	$25.13
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	292	39	$3291.10	$169.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	264	104	$57.00	$13.20
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	263	134	$28.00	$6.32
51798 Ultrasound measurement of bladder capacity after voiding	245	189	$52.00	$9.48
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	197	145	$32.84	$7.28
99213 Established patient office or other outpatient visit, typically 15 minutes	158	133	$165.00	$84.75
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	155	92	$150.00	$44.96
52000 Diagnostic exam of bladder and urethra using an endoscope	123	96	$580.00	$220.86
76775 Limited ultrasound scan behind abdominal cavity	99	91	$225.00	$54.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	34	$185.00	$77.42
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	75	58	$85.00	$31.03
80048 Blood test, basic group of blood chemicals (calcium, total)	74	64	$35.00	$8.29
A4648 Tissue marker, implantable, any type, each	68	64	$1117.65	$348.02
55874 Injection of biodegradable material next to prostate	66	66	$7500.00	$2530.11
55876 Placement of device in prostate for radiation therapy	64	64	$400.00	$71.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	64	64	$450.00	$53.33
51701 Insertion of temporary bladder tube	58	50	$150.00	$42.31
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	47	14	$180.00	$58.79
74019 X-ray of abdomen, 2 views	46	40	$90.00	$34.17
74021 X-ray of abdomen, minimum of 3 views	40	37	$135.00	$39.07
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	37	16	$250.00	$65.81
71046 X-ray of chest, 2 views	36	24	$90.00	$30.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	22	$105.00	$48.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$340.00	$127.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$390.00	$160.01
51700 Simple bladder irrigation and/or instillation	30	25	$185.00	$71.10
81002 Urinalysis, manual test	26	26	$16.96	$3.41
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	21	$1468.00	$104.68
52287 Exam with injections of chemical for destruction of bladder using an endoscope	25	19	$866.00	$352.37
55700 Biopsy of prostate gland	25	25	$600.00	$227.79
81000 Manual urinalysis test with examination using microscope, non-automated	23	20	$19.00	$3.94
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	21	21	$823.00	$165.80
74420 Imaging of urinary tract	19	17	$250.00	$23.79
76872 Ultrasound scan of pelvic region through rectum	19	19	$250.00	$125.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$500.00	$169.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	14	$55.00	$21.37
74018 X-ray of abdomen, 1 view	15	14	$75.00	$26.55
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	13	$530.00	$30.36
51741 Electronic assessment of bladder emptying	14	14	$145.00	$7.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	31,400	16	$1.00	$0.03
J0585 Injection, onabotulinumtoxina, 1 unit	1,800	15	$15.00	$6.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,071	740	$250.00	$121.77
81003 Automated urinalysis test	804	580	$26.53	$2.20
36415 Insertion of needle into vein for collection of blood sample	798	520	$20.01	$2.97
84153 Psa (prostate specific antigen) measurement, total	653	473	$60.00	$18.09
81001 Manual urinalysis test with examination using microscope, automated	599	378	$19.64	$3.15
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	264	32	$3000.00	$173.68
87084 Screening test for pathogenic organisms with colony count	261	178	$45.00	$26.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	207	57	$57.00	$13.39
80053 Blood test, comprehensive group of blood chemicals	201	105	$53.00	$10.37
99213 Established patient office or other outpatient visit, typically 15 minutes	201	174	$165.00	$87.18
51798 Ultrasound measurement of bladder capacity after voiding	187	144	$52.00	$9.38
84403 Testosterone (hormone) level, total	164	99	$80.00	$25.44
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	164	114	$30.00	$7.31
52000 Diagnostic exam of bladder and urethra using an endoscope	144	117	$580.00	$226.56
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	142	92	$27.94	$6.35
J0696 Injection, ceftriaxone sodium, per 250 mg	128	32	$30.00	$0.48
76775 Limited ultrasound scan behind abdominal cavity	95	84	$225.00	$54.64
81002 Urinalysis, manual test	67	59	$11.22	$3.42
80048 Blood test, basic group of blood chemicals (calcium, total)	67	57	$35.00	$8.35
51701 Insertion of temporary bladder tube	65	53	$150.00	$43.54
74021 X-ray of abdomen, minimum of 3 views	57	46	$135.00	$40.40
74019 X-ray of abdomen, 2 views	56	46	$90.00	$34.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	34	$185.00	$70.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$390.00	$162.94
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	45	33	$85.00	$30.70
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	36	19	$180.00	$61.05
81000 Manual urinalysis test with examination using microscope, non-automated	33	32	$19.00	$3.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	32	$105.00	$52.96
74420 Imaging of urinary tract	23	22	$250.00	$24.33
51700 Simple bladder irrigation and/or instillation	22	18	$185.00	$69.65
71046 X-ray of chest, 2 views	22	16	$90.00	$31.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$500.00	$195.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$340.00	$133.53
55874 Injection of biodegradable material next to prostate	19	19	$7500.00	$2611.41
A4648 Tissue marker, implantable, any type, each	19	19	$1200.00	$371.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$450.00	$53.57
55876 Placement of device in prostate for radiation therapy	19	19	$400.00	$70.47
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	19	$1500.00	$119.74
76872 Ultrasound scan of pelvic region through rectum	17	17	$250.00	$129.12
52005 Insertion of tube into ureter using an endoscope through bladder area	17	16	$1200.00	$52.21
52287 Exam with injections of chemical for destruction of bladder using an endoscope	17	16	$866.00	$376.52
55700 Biopsy of prostate gland	16	16	$600.00	$233.35
74018 X-ray of abdomen, 1 view	15	15	$75.00	$28.29
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$161.80	$66.51
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	15	15	$823.00	$158.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$55.00	$21.49
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$700.00	$308.32
51741 Electronic assessment of bladder emptying	13	13	$145.00	$6.80
76856 Complete ultrasound scan of pelvis	12	11	$325.00	$100.32
55899 Other procedure on male genital system	12	12	$500.00	$88.08
88112 Cell examination of specimen, selective cellular enhancement technique	12	12	$300.00	$34.75
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2285.00	$691.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$97.00	$36.56
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$530.00	$33.89
55700 Biopsy of prostate gland	11	11	$547.91	$124.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	17,250	14	$1.00	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	883	591	$250.00	$125.01
81003 Automated urinalysis test	766	509	$20.00	$2.24
36415 Insertion of needle into vein for collection of blood sample	632	451	$20.00	$3.00
84153 Psa (prostate specific antigen) measurement, total	559	409	$60.00	$18.39
81001 Manual urinalysis test with examination using microscope, automated	546	334	$15.00	$3.16
87084 Screening test for pathogenic organisms with colony count	268	165	$39.78	$26.82
99213 Established patient office or other outpatient visit, typically 15 minutes	251	218	$165.00	$87.32
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	246	28	$3000.00	$173.03
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	204	133	$30.00	$7.40
51798 Ultrasound measurement of bladder capacity after voiding	190	146	$52.00	$9.27
52000 Diagnostic exam of bladder and urethra using an endoscope	150	119	$580.00	$215.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	133	45	$57.00	$13.49
J0696 Injection, ceftriaxone sodium, per 250 mg	132	25	$30.00	$0.54
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	88	59	$27.81	$6.47
80053 Blood test, comprehensive group of blood chemicals	84	58	$53.00	$10.56
84403 Testosterone (hormone) level, total	72	44	$80.00	$25.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	49	$97.00	$35.84
51701 Insertion of temporary bladder tube	66	42	$150.00	$43.83
80048 Blood test, basic group of blood chemicals (calcium, total)	57	50	$35.00	$8.46
76775 Limited ultrasound scan behind abdominal cavity	56	51	$225.00	$55.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$390.00	$159.14
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$161.00	$67.30
74021 X-ray of abdomen, minimum of 3 views	43	38	$135.00	$39.84
74019 X-ray of abdomen, 2 views	43	40	$90.00	$34.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	28	$85.00	$30.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	38	$105.00	$53.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	16	$185.00	$71.04
81000 Manual urinalysis test with examination using microscope, non-automated	27	22	$19.00	$4.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	17	$55.00	$21.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$500.00	$197.90
51700 Simple bladder irrigation and/or instillation	24	20	$185.00	$72.17
51702 Simple insertion of temporary bladder tube	23	18	$190.00	$55.18
J3490 Unclassified drugs	23	12	$2000.00	$1230.70
11980 Insertion of hormone pellets beneath the skin	23	12	$288.00	$92.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	12	$105.00	$37.96
55700 Biopsy of prostate gland	20	19	$565.20	$131.55
71046 X-ray of chest, 2 views	16	12	$90.00	$31.34
A4648 Tissue marker, implantable, any type, each	16	14	$468.75	$157.50
55874 Injection of biodegradable material next to prostate	15	15	$7400.00	$2886.64
52005 Insertion of tube into ureter using an endoscope through bladder area	15	15	$1200.00	$76.21
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$450.00	$55.66
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$1607.14	$127.95
55876 Placement of device in prostate for radiation therapy	14	14	$400.00	$72.43
76872 Ultrasound scan of pelvic region through rectum	13	13	$250.00	$128.82
55700 Biopsy of prostate gland	13	13	$600.00	$241.17
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	13	13	$823.00	$154.92
74420 Imaging of urinary tract	12	12	$250.00	$24.75
74018 X-ray of abdomen, 1 view	12	11	$75.00	$27.81
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$700.00	$299.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	16,050	14	$1.00	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	781	583	$250.00	$104.87
81003 Automated urinalysis test	648	465	$20.00	$2.22
36415 Insertion of needle into vein for collection of blood sample	617	461	$20.00	$2.98
84153 Psa (prostate specific antigen) measurement, total	552	416	$60.00	$18.19
81001 Manual urinalysis test with examination using microscope, automated	534	368	$15.00	$3.15
99213 Established patient office or other outpatient visit, typically 15 minutes	346	263	$165.00	$72.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	283	30	$2453.36	$218.20
87084 Screening test for pathogenic organisms with colony count	268	186	$38.00	$26.39
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	203	146	$30.00	$7.27
51798 Ultrasound measurement of bladder capacity after voiding	159	129	$52.00	$9.28
52000 Diagnostic exam of bladder and urethra using an endoscope	120	90	$580.00	$197.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	101	21	$57.00	$13.42
51701 Insertion of temporary bladder tube	93	71	$150.00	$44.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	63	$97.00	$26.01
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	70	50	$27.81	$6.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$390.00	$160.01
80053 Blood test, comprehensive group of blood chemicals	67	50	$53.00	$10.50
84403 Testosterone (hormone) level, total	64	42	$80.00	$25.66
76775 Limited ultrasound scan behind abdominal cavity	53	49	$225.00	$55.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	29	$105.00	$39.37
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	48	30	$85.00	$29.24
81000 Manual urinalysis test with examination using microscope, non-automated	43	40	$19.00	$3.90
80048 Blood test, basic group of blood chemicals (calcium, total)	43	39	$35.00	$8.43
74019 X-ray of abdomen, 2 views	40	35	$90.00	$33.53
74021 X-ray of abdomen, minimum of 3 views	39	35	$135.00	$38.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$105.00	$41.34
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$161.00	$51.58
51700 Simple bladder irrigation and/or instillation	33	27	$185.00	$69.94
99441 Telephone medical discussion with physician, 5-10 minutes	29	29	$117.24	$43.32
55700 Biopsy of prostate gland	24	24	$566.17	$132.02
81002 Urinalysis, manual test	24	23	$11.22	$3.30
11980 Insertion of hormone pellets beneath the skin	21	12	$288.00	$90.33
J3490 Unclassified drugs	21	12	$2000.00	$1215.57
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$245.00	$102.43
88112 Cell examination of specimen, selective cellular enhancement technique	20	20	$300.00	$35.34
51702 Simple insertion of temporary bladder tube	19	12	$190.00	$55.50
74018 X-ray of abdomen, 1 view	18	17	$75.00	$27.28
52000 Diagnostic exam of bladder and urethra using an endoscope	17	17	$446.94	$78.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$1593.75	$136.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$340.00	$138.24
52005 Insertion of tube into ureter using an endoscope through bladder area	15	15	$1200.00	$56.41
50545 Removal of kidney and lymph nodes using an endoscope	13	13	$2163.46	$399.42
99441 Telephone medical discussion with physician, 5-10 minutes	13	12	$97.00	$26.17
50590 Shock wave crushing of kidney stones	13	12	$2250.00	$574.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$255.00	$104.66
50543 Partial removal of kidney using an endoscope	11	11	$2815.91	$621.91
76872 Ultrasound scan of pelvic region through rectum	11	11	$250.00	$123.53
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$700.00	$280.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	24,200	11	$1.00	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	791	571	$250.00	$103.31
36415 Insertion of needle into vein for collection of blood sample	597	437	$11.72	$2.88
84153 Psa (prostate specific antigen) measurement, total	527	406	$60.00	$19.92
81000 Manual urinalysis test with examination using microscope, non-automated	481	367	$19.00	$3.86
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	372	37	$2100.00	$224.88
81003 Automated urinalysis test	218	197	$20.00	$2.42
99213 Established patient office or other outpatient visit, typically 15 minutes	204	171	$165.00	$70.51
81001 Manual urinalysis test with examination using microscope, automated	198	172	$15.00	$3.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	138	13	$57.00	$15.50
51798 Ultrasound measurement of bladder capacity after voiding	105	81	$52.00	$11.38
52000 Diagnostic exam of bladder and urethra using an endoscope	105	72	$580.00	$179.82
87084 Screening test for pathogenic organisms with colony count	105	85	$38.00	$25.60
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	105	85	$30.00	$7.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	64	$97.10	$25.06
84403 Testosterone (hormone) level, total	68	37	$80.00	$28.11
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	63	38	$85.00	$28.60
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	63	43	$27.81	$6.84
80053 Blood test, comprehensive group of blood chemicals	61	42	$53.00	$11.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	56	$105.00	$42.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$390.00	$157.26
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$158.19	$50.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	22	$105.00	$35.83
51701 Insertion of temporary bladder tube	39	34	$150.00	$43.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	26	$44.74	$9.03
81002 Urinalysis, manual test	27	20	$11.22	$3.41
11980 Insertion of hormone pellets beneath the skin	25	12	$288.00	$84.76
52000 Diagnostic exam of bladder and urethra using an endoscope	25	25	$346.00	$80.15
J3490 Unclassified drugs	24	11	$2000.00	$1226.60
88112 Cell examination of specimen, selective cellular enhancement technique	23	22	$300.00	$34.84
99201 New patient office or other outpatient visit, typically 10 minutes	23	23	$96.43	$26.45
55700 Biopsy of prostate gland	23	23	$569.30	$126.84
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$245.00	$100.97
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$163.11	$49.81
51700 Simple bladder irrigation and/or instillation	17	15	$185.00	$68.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$255.00	$104.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$340.00	$135.83
76775 Limited ultrasound scan behind abdominal cavity	14	14	$225.00	$54.39
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$1200.00	$65.00
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$35.00	$9.21
50543 Partial removal of kidney using an endoscope	12	12	$2403.75	$348.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	18,100	12	$1.00	$0.02
81000 Manual urinalysis test with examination using microscope, non-automated	825	488	$19.00	$3.90
36415 Insertion of needle into vein for collection of blood sample	570	438	$11.00	$2.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	562	436	$250.00	$100.40
84153 Psa (prostate specific antigen) measurement, total	520	410	$60.00	$22.13
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	384	40	$1941.41	$212.86
99213 Established patient office or other outpatient visit, typically 15 minutes	292	233	$165.00	$67.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	118	$104.59	$40.60
52000 Diagnostic exam of bladder and urethra using an endoscope	119	92	$580.00	$154.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	67	$48.00	$25.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	94	12	$57.00	$18.74
51798 Ultrasound measurement of bladder capacity after voiding	81	63	$52.00	$13.89
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	66	41	$85.00	$27.91
84403 Testosterone (hormone) level, total	59	35	$80.00	$31.23
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)	48	40	$30.00	$8.34
87084 Screening test for pathogenic organisms with colony count	48	40	$38.00	$26.53
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$92.51	$50.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$255.00	$102.14
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	39	30	$27.81	$7.82
88112 Cell examination of specimen, selective cellular enhancement technique	39	31	$300.00	$35.19
80053 Blood test, comprehensive group of blood chemicals	38	27	$53.00	$12.78
55700 Biopsy of prostate gland	30	30	$499.73	$124.45
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$245.00	$98.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	16	$105.00	$37.97
80048 Blood test, basic group of blood chemicals (calcium, total)	24	22	$35.00	$10.23
52000 Diagnostic exam of bladder and urethra using an endoscope	22	20	$300.18	$78.89
51700 Simple bladder irrigation and/or instillation	22	19	$185.00	$68.25
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$102.35	$49.65
11980 Insertion of hormone pellets beneath the skin	20	11	$288.00	$89.48
J3490 Unclassified drugs	20	11	$2000.00	$1059.99
50543 Partial removal of kidney using an endoscope	18	18	$2302.78	$373.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	17	$1411.76	$125.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$340.00	$137.34
99201 New patient office or other outpatient visit, typically 10 minutes	16	16	$50.88	$26.38
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	13	$866.00	$156.02
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$185.00	$70.37
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$700.00	$231.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$390.00	$157.09
51741 Electronic assessment of bladder emptying	11	11	$145.00	$4.10
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	11	11	$850.00	$107.71
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$3086.36	$546.79
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	11	11	$1438.18	$127.88
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$1200.00	$60.31
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$500.00	$39.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	544	433	$250.00	$101.64
36415 Insertion of needle into vein for collection of blood sample	516	390	$11.00	$2.90
81001 Manual urinalysis test with examination using microscope, automated	495	339	$15.00	$4.20
84153 Psa (prostate specific antigen) measurement, total	476	369	$60.00	$24.62
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	462	48	$1401.82	$204.83
99213 Established patient office or other outpatient visit, typically 15 minutes	248	210	$165.00	$68.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	182	$105.00	$40.93
81000 Manual urinalysis test with examination using microscope, non-automated	213	182	$19.00	$4.22
52000 Diagnostic exam of bladder and urethra using an endoscope	115	85	$580.00	$153.82
51798 Ultrasound measurement of bladder capacity after voiding	108	86	$52.00	$17.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	75	$48.00	$24.94
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	82	50	$85.00	$29.38
99221 Initial hospital inpatient care per day, typically 30 minutes	61	60	$245.00	$99.73
80053 Blood test, comprehensive group of blood chemicals	49	33	$53.00	$14.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$255.00	$103.24
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	48	32	$27.81	$8.69
88112 Cell examination of specimen, selective cellular enhancement technique	47	41	$300.00	$34.96
84403 Testosterone (hormone) level, total	46	26	$80.00	$34.04
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$91.00	$49.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	38	$340.00	$138.07
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$92.00	$49.50
55700 Biopsy of prostate gland	33	33	$462.55	$125.93
51700 Simple bladder irrigation and/or instillation	30	22	$185.00	$67.94
52000 Diagnostic exam of bladder and urethra using an endoscope	29	25	$267.17	$100.09
80048 Blood test, basic group of blood chemicals (calcium, total)	24	19	$35.00	$11.37
99201 New patient office or other outpatient visit, typically 10 minutes	23	23	$100.00	$41.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	18	$1200.00	$126.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$105.00	$38.47
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$175.56	$31.85
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$48.00	$26.31
52287 Exam with injections of chemical for destruction of bladder using an endoscope	13	11	$866.00	$147.06
51701 Insertion of temporary bladder tube	12	12	$150.00	$45.06

Medical Specialties & State Licenses

CMS Verified: 2026-04-15

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License LA MD.021311

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License LA 021311

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1680974 (LA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

C5115 (LA)

Hospital & Practice Group Affiliations

Southern Urology Llc

1926 S Union St, Opelousas, LA 705705725

Phone: 3375944025

Southern Urology Llc

120 Rue Louis Xiv, Lafayette, LA 705085739

Phone: 3376001678

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Scott Neusetzer , MD

Urology

NPI 1174603757

Doctor of Medicine (M.D.)

Michael Stirling , RN, MSN, FNP-C

Nurse Practitioner - Family

NPI 1306338413

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Certified)

Dr. Alayna Dunbar , MD

Urology

NPI 1376109991

Doctor of Medicine (M.D.)

Jacqueline Frye , APRN, FNP-C

Nurse Practitioner - Family

NPI 1396254447

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Jeannette Chassaignac , MD

Urology

NPI 1467540344

Doctor of Medicine (M.D.)

Dr. Edward Breaux , MD

Urology

NPI 1659469542

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location April 15, 2026

Registered at 120 RUE LOUIS XIV, BLDG 2, LAFAYETTE, LA 705085783 (Tel: 3372336665)

📍

Updated Business Mailing Address April 15, 2026

Registered at 120 RUE LOUIS XIV, BLDG 2, LAFAYETTE, LA 705085783 (Tel: 3372336665)

👤

Provider Name / Credentials Updated April 15, 2026

Recorded as THAD BOURQUE, MD

✅

NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2017

Registered at 1103 KALISTE SALOOM RD, SUITE 200, LAFAYETTE, LA 705085783 (Tel: 3379881803)

📍

Updated Business Mailing Address June 29, 2017

Registered at 120 RUE LOUIS XIV, LAFAYETTE, LA 705085783 (Tel: 3377697779)

👤

Provider Name / Credentials Updated June 29, 2017

Recorded as THAD BOURQUE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Specialist (License #021311 in LA)

✅

NPI Profile Active February 04, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2011

Registered at 1103 KALISTE SALOOM RD, SUITE 200, LAFAYETTE, LA 705085783 (Tel: 3379881803)

📍

Updated Business Mailing Address February 04, 2011

Registered at 120 RUE LOUIS XIV, LAFAYETTE, LA 705085783 (Tel: 3377697779)

👤

Provider Name / Credentials Updated February 04, 2011

Recorded as THAD BOURQUE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2011

Specialist (License #021311 in LA)

🟢

Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912093709

Entity Type:

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

Enumeration Date: October 05, 2006

Last Update: April 15, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 Rue Louis Xiv, Bldg 2

Lafayette, LA 705085783

Phone: 3372336665

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.