Active NPI 1083876296 Individual Practitioner Female Practitioner

Dr. Michelle Lea Ramirez , DO

Urology • Biddeford, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Ramirez, DO is a certified Urology practicing in Biddeford, ME. With approximately 19 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2007, Dr. Ramirez delivers high-quality medical care to the local community at 24 W COLE RD STE 104.

Dr. Ramirez maintains professional affiliations with St Marys Regional Medical Center, Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of urinary tract, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24 W Cole Rd Ste 104

Biddeford, ME 040059404

Telephone 1602283207

Associated Practice Facility / Clinic

🏢 Yonkers Radiation Medical Practice, Pc Facility NPI 1750361374

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Biddeford, ME

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +6.7 yrs vs City Avg

City Avg: 12.3 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Biddeford, ME (76 Statewide)

Telehealth Adoption Rate

66.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ramirez (19 Years) 19 Yrs

Biddeford Specialty Average (12.3 Years) 12.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$65.00	$64.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$133.00	$95.11
74420 Imaging of urinary tract	13	12	$41.85	$24.11
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$290.69	$77.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74420 Imaging of urinary tract	18	15	$54.00	$23.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$128.00	$93.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	178	141	$3.20	$3.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	113	$209.56	$130.18
51798 Ultrasound measurement of bladder capacity after voiding	131	111	$34.83	$10.33
99213 Established patient office or other outpatient visit, typically 15 minutes	103	91	$144.82	$92.15
52000 Diagnostic exam of bladder and urethra using an endoscope	77	70	$410.02	$236.47
74420 Imaging of urinary tract	31	21	$49.29	$25.15
81003 Automated urinalysis test	21	13	$2.30	$2.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	12	$324.71	$126.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$283.99	$182.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$315.57	$168.73
52287 Exam with injections of chemical for destruction of bladder using an endoscope	13	11	$335.59	$149.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$36.03	$23.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	235	181	$69.77	$10.39
81001 Manual urinalysis test with examination using microscope, automated	167	130	$3.17	$3.08
99213 Established patient office or other outpatient visit, typically 15 minutes	150	125	$194.85	$75.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	104	$263.76	$107.11
81000 Manual urinalysis test with examination using microscope, non-automated	112	92	$13.00	$3.95
52000 Diagnostic exam of bladder and urethra using an endoscope	68	63	$640.34	$208.41
51702 Simple insertion of temporary bladder tube	44	18	$144.83	$62.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$252.94	$105.87
99442 Telephone medical discussion with physician, 11-20 minutes	28	28	$208.80	$75.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$360.08	$165.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$317.65	$147.81
74420 Imaging of urinary tract	22	19	$48.99	$26.04
99441 Telephone medical discussion with physician, 5-10 minutes	19	19	$160.27	$46.02
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	16	$345.66	$130.25
81002 Urinalysis, manual test	15	14	$11.00	$3.24
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	12	$1363.58	$281.96
51741 Electronic assessment of bladder emptying	13	13	$165.53	$6.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$174.00	$46.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	405	248	$13.00	$3.89
51798 Ultrasound measurement of bladder capacity after voiding	373	231	$144.00	$12.65
99213 Established patient office or other outpatient visit, typically 15 minutes	204	159	$159.46	$73.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	96	$226.40	$105.93
52000 Diagnostic exam of bladder and urethra using an endoscope	68	64	$804.00	$190.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$287.51	$159.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$188.73	$106.94
51741 Electronic assessment of bladder emptying	27	26	$244.00	$5.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	24	$104.08	$22.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$292.33	$139.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$127.29	$44.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$306.50	$199.25
81002 Urinalysis, manual test	13	12	$11.00	$3.41
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	13	13	$808.00	$96.86
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$297.00	$18.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	372	182	$12.13	$3.92
51798 Ultrasound measurement of bladder capacity after voiding	246	156	$137.80	$15.93
99213 Established patient office or other outpatient visit, typically 15 minutes	164	110	$134.02	$72.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	88	$189.10	$106.06
52000 Diagnostic exam of bladder and urethra using an endoscope	77	74	$772.91	$164.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$248.51	$161.16
51702 Simple insertion of temporary bladder tube	30	12	$121.60	$64.45
74420 Imaging of urinary tract	22	19	$33.18	$17.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$163.40	$106.66
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	18	18	$477.28	$171.77
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$402.67	$101.00
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$292.15	$246.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$266.08	$200.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$262.91	$143.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	171	101	$12.00	$4.26
51798 Ultrasound measurement of bladder capacity after voiding	158	117	$119.32	$19.59
99213 Established patient office or other outpatient visit, typically 15 minutes	79	73	$172.03	$72.58
52000 Diagnostic exam of bladder and urethra using an endoscope	72	72	$731.36	$166.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	58	$211.03	$106.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$279.43	$160.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$175.97	$104.24
81003 Automated urinalysis test	33	28	$8.33	$2.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	14	$306.30	$144.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$129.34	$45.01
51741 Electronic assessment of bladder emptying	17	15	$195.77	$11.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$347.34	$202.59

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License RI CDO00756

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA OT012335

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

MR96210 (RI)

Commercial Insurance / Payer ID Harvard Pilgrim

AA346457 (RI)

Commercial Insurance / Payer ID Railroad Mcr

P01280385 (RI)

Commercial Insurance / Payer ID Aetna

4977681 (RI)

Commercial Insurance / Payer ID Neighborhood Health Plan

1083876296 (RI)

Commercial Insurance / Payer ID Cigna

9586301 (RI)

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

730 Ctr St, Auburn, ME 042106316

Phone: 2077833450

Select Physical Therapy Holdings Inc

730 Ctr St, Auburn, ME 042106316

Phone: 2077833450

St Marys Regional Medical Center

99 Campus Ave, Lewiston, ME 042406045

Phone: 2077553150

Secondary Practice Locations

207 Quaker Ln, 1st Floor

West Warwick, RI 028932283

Phone: 4018287110

Practice Associates & Co-Workers

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

1 Associated Practitioners

Heidi Harmon , FNP

Nurse Practitioner - Family

NPI 1417107863

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 30, 2019

Registered at 24 W COLE RD STE 104, BIDDEFORD, ME 040059404 (Tel: 1602283207)

✅

NPI Profile Active April 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2014

Registered at 207 QUAKER LN, 1ST FLOOR, WEST WARWICK, RI 028932283 (Tel: 4018287110)

📍

Updated Business Mailing Address April 24, 2014

Registered at 2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 339071412 (Tel: 2399317342)

👤

Provider Name / Credentials Updated April 24, 2014

Recorded as MICHELLE RAMIREZ, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2014

Surgery (License #OT012335 in PA)

🟢

Initial NPI Registration & Enumeration June 29, 2008

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: 1083876296

Entity Type:

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

Enumeration Date: June 29, 2008

Last Update: March 30, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2234 Colonial Blvd, Attn: Payer Contracting & Relations

Fort Myers, FL 339071412

Phone: 2399317342

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.