Active NPI 1255561775 Individual Practitioner Male Practitioner

Matthew Fulton

Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matthew Fulton is a certified Surgery practicing in Cincinnati, OH. With approximately 17 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2009, Matthew Fulton delivers high-quality medical care to the local community at 3301 MERCY HEALTH BLVD.

Matthew Fulton maintains professional affiliations with Oxford Physical Therapy And Rehabilitation, Tri State Urologic Services Psc Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, urinalysis, manual test, 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

3301 Mercy Health Blvd
Suite 525

Cincinnati, OH 452111118

Telephone 5138417700

Fax 5138417701

Associated Practice Facility / Clinic

🏢 Oncology/ Hematology Care, Inc. Facility NPI 1508859869

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cincinnati, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -6.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

96 Specialists

Practicing in Cincinnati, OH (1313 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fulton (17 Years) 17 Yrs

Cincinnati Specialty Average (23.3 Years) 23.3 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
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	633	460	$35.00	$16.55
81002 Urinalysis, manual test	623	439	$26.00	$3.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	562	403	$278.00	$126.90
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	171	38	$212.00	$63.10
84153 Psa (prostate specific antigen) measurement, total	160	141	$71.00	$18.02
51798 Ultrasound measurement of bladder capacity after voiding	143	112	$97.00	$10.77
36415 Insertion of needle into vein for collection of blood sample	125	107	$32.00	$8.58
99213 Established patient office or other outpatient visit, typically 15 minutes	108	101	$237.00	$89.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$438.00	$162.71
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	97	32	$159.00	$48.12
52000 Diagnostic exam of bladder and urethra using an endoscope	70	69	$764.53	$77.82
51705 Removal of skin suture with change of bladder tube	69	25	$274.00	$95.22
76872 Ultrasound scan of pelvic region through rectum	49	49	$312.00	$32.60
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	32	31	$723.00	$183.58
87086 Bacterial colony count, urine	30	28	$70.00	$7.91
55700 Biopsy of prostate gland	30	30	$654.00	$131.10
84154 Psa (prostate specific antigen) measurement, free	29	29	$85.00	$18.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$335.00	$131.79
86316 Analysis for detection of tumor marker	29	29	$51.00	$20.39
51741 Electronic assessment of bladder emptying	29	28	$254.00	$7.16
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	21	$1312.22	$154.54
82565 Blood creatinine level	25	25	$37.00	$5.02
84520 Urea nitrogen level to assess kidney function	22	22	$29.00	$3.87
87088 Bacterial urine culture	20	19	$39.00	$7.93
84403 Testosterone (hormone) level, total	17	16	$101.00	$25.29
87077 Bacterial culture for aerobic isolates	15	13	$105.00	$7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	15	13	$105.00	$8.48
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	13	$574.00	$28.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$324.00	$110.32
52287 Exam with injections of chemical for destruction of bladder using an endoscope	12	12	$1132.00	$155.41
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$1938.33	$145.31
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$2775.50	$399.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$325.00	$180.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,600	16	$1.00	$0.15
81002 Urinalysis, manual test	655	461	$24.80	$3.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	555	407	$249.39	$123.11
36415 Insertion of needle into vein for collection of blood sample	165	135	$31.93	$8.36
84153 Psa (prostate specific antigen) measurement, total	151	126	$71.00	$17.90
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	138	29	$206.00	$60.65
51798 Ultrasound measurement of bladder capacity after voiding	120	106	$93.88	$9.97
99213 Established patient office or other outpatient visit, typically 15 minutes	106	98	$200.56	$86.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$392.06	$161.16
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	84	13	$1273.00	$176.75
51705 Removal of skin suture with change of bladder tube	84	25	$265.43	$93.04
52000 Diagnostic exam of bladder and urethra using an endoscope	82	77	$625.73	$78.16
76872 Ultrasound scan of pelvic region through rectum	51	51	$311.12	$31.15
87086 Bacterial colony count, urine	49	43	$50.39	$7.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	22	$78.95	$21.95
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	27	$1405.77	$148.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$317.29	$128.16
87088 Bacterial urine culture	35	29	$39.00	$7.93
86316 Analysis for detection of tumor marker	28	27	$51.00	$19.71
84154 Psa (prostate specific antigen) measurement, free	28	27	$85.00	$17.38
82565 Blood creatinine level	25	25	$37.00	$5.02
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	24	19	$105.00	$8.48
87077 Bacterial culture for aerobic isolates	24	19	$105.00	$7.92
55700 Biopsy of prostate gland	23	23	$560.74	$123.31
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	13	$151.00	$31.96
84403 Testosterone (hormone) level, total	17	13	$101.00	$25.29
84520 Urea nitrogen level to assess kidney function	16	16	$29.00	$3.87
52353 Crushing of stone of ureter using an endoscope	13	13	$1773.00	$381.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$293.46	$108.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$426.91	$170.71
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$823.82	$250.80
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2318.82	$712.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$316.00	$173.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	581	436	$24.00	$3.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	354	$228.00	$124.84
51798 Ultrasound measurement of bladder capacity after voiding	193	147	$91.00	$9.86
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	160	41	$200.00	$61.93
36415 Insertion of needle into vein for collection of blood sample	151	125	$31.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	136	112	$71.00	$17.89
99213 Established patient office or other outpatient visit, typically 15 minutes	132	124	$174.00	$88.00
51705 Removal of skin suture with change of bladder tube	121	27	$258.00	$94.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$360.00	$162.97
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	12	$1236.00	$156.32
52000 Diagnostic exam of bladder and urethra using an endoscope	70	62	$594.00	$77.26
87086 Bacterial colony count, urine	56	50	$39.00	$7.96
87088 Bacterial urine culture	45	40	$39.00	$7.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	31	$145.00	$70.05
76872 Ultrasound scan of pelvic region through rectum	39	39	$303.00	$32.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	28	$1377.84	$148.74
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$197.00	$96.56
87077 Bacterial culture for aerobic isolates	29	25	$105.00	$7.98
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	29	25	$105.00	$8.54
82565 Blood creatinine level	28	26	$37.00	$5.05
84520 Urea nitrogen level to assess kidney function	25	24	$29.00	$3.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$272.00	$109.95
84154 Psa (prostate specific antigen) measurement, free	22	21	$85.00	$18.14
55700 Biopsy of prostate gland	21	21	$453.00	$128.89
86316 Analysis for detection of tumor marker	21	20	$51.00	$20.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$307.00	$176.90
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	12	$147.00	$27.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$309.00	$132.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$109.00	$38.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,700	16	$1.00	$0.12
81002 Urinalysis, manual test	588	442	$24.00	$3.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	403	316	$221.00	$125.80
99213 Established patient office or other outpatient visit, typically 15 minutes	196	180	$169.00	$88.50
51798 Ultrasound measurement of bladder capacity after voiding	187	158	$88.00	$9.63
36415 Insertion of needle into vein for collection of blood sample	184	141	$30.00	$2.99
84153 Psa (prostate specific antigen) measurement, total	153	125	$71.00	$18.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$348.10	$161.29
87086 Bacterial colony count, urine	87	75	$39.00	$7.99
51705 Removal of skin suture with change of bladder tube	85	27	$247.60	$94.66
52000 Diagnostic exam of bladder and urethra using an endoscope	65	56	$577.00	$78.48
87088 Bacterial urine culture	60	51	$39.00	$8.09
82565 Blood creatinine level	43	42	$37.00	$5.12
87077 Bacterial culture for aerobic isolates	40	34	$105.00	$8.08
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	40	34	$105.00	$8.65
84520 Urea nitrogen level to assess kidney function	37	36	$29.00	$3.95
76872 Ultrasound scan of pelvic region through rectum	33	33	$294.00	$31.98
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	22	$1431.03	$171.53
55700 Biopsy of prostate gland	29	29	$440.00	$129.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$264.00	$109.81
84154 Psa (prostate specific antigen) measurement, free	26	24	$85.00	$17.83
86316 Analysis for detection of tumor marker	26	24	$51.00	$20.12
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$191.00	$99.61
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	11	$143.00	$28.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$141.00	$70.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$298.00	$177.33
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$779.00	$257.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,200	12	$1.00	$0.11
81002 Urinalysis, manual test	523	411	$24.00	$3.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	281	$211.35	$105.44
99213 Established patient office or other outpatient visit, typically 15 minutes	212	183	$164.00	$72.95
36415 Insertion of needle into vein for collection of blood sample	192	155	$29.00	$2.97
84153 Psa (prostate specific antigen) measurement, total	161	132	$71.00	$18.20
51798 Ultrasound measurement of bladder capacity after voiding	142	116	$85.00	$9.57
51705 Removal of skin suture with change of bladder tube	64	29	$210.00	$90.50
52000 Diagnostic exam of bladder and urethra using an endoscope	59	47	$549.63	$79.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$317.53	$158.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$256.65	$104.39
82565 Blood creatinine level	45	41	$37.00	$5.09
87086 Bacterial colony count, urine	45	43	$39.00	$8.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	37	$137.00	$72.15
84520 Urea nitrogen level to assess kidney function	39	35	$29.00	$3.93
87088 Bacterial urine culture	35	35	$39.00	$8.06
86316 Analysis for detection of tumor marker	31	27	$51.00	$20.77
84154 Psa (prostate specific antigen) measurement, free	31	27	$85.00	$18.35
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$185.00	$100.13
87077 Bacterial culture for aerobic isolates	26	26	$105.00	$8.06
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	26	26	$105.00	$8.62
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	19	$1135.57	$152.72
76872 Ultrasound scan of pelvic region through rectum	21	21	$294.00	$33.67
55700 Biopsy of prostate gland	20	20	$427.00	$133.82
84403 Testosterone (hormone) level, total	18	16	$101.00	$25.72
52005 Insertion of tube into ureter using an endoscope through bladder area	17	14	$746.00	$72.90
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	11	$139.00	$27.30
82962 Blood glucose (sugar) test performed by hand-held instrument	15	13	$55.00	$3.24
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	13	$1420.00	$154.07
76000 Imaging guidance for procedure, 60 minutes or less	13	12	$148.00	$15.62
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2127.00	$744.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$214.50	$138.23
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$2115.00	$424.96
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$779.00	$257.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$289.00	$143.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,700	15	$1.00	$0.12
81002 Urinalysis, manual test	672	502	$24.00	$3.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	391	312	$184.99	$104.65
36415 Insertion of needle into vein for collection of blood sample	227	176	$29.01	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	226	198	$159.00	$71.55
84153 Psa (prostate specific antigen) measurement, total	196	156	$71.00	$19.85
51798 Ultrasound measurement of bladder capacity after voiding	176	141	$83.00	$11.92
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	16	$1041.00	$216.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$249.34	$104.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$307.88	$160.05
51705 Removal of skin suture with change of bladder tube	86	22	$204.00	$91.14
52000 Diagnostic exam of bladder and urethra using an endoscope	77	66	$511.00	$80.27
82565 Blood creatinine level	62	55	$37.00	$5.50
84520 Urea nitrogen level to assess kidney function	58	52	$29.00	$4.30
87086 Bacterial colony count, urine	52	48	$39.00	$8.79
86316 Analysis for detection of tumor marker	42	41	$51.00	$22.67
84154 Psa (prostate specific antigen) measurement, free	42	41	$85.00	$20.03
51702 Simple insertion of temporary bladder tube	38	20	$275.00	$59.75
87088 Bacterial urine culture	37	33	$39.00	$8.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	36	26	$1006.42	$154.46
76872 Ultrasound scan of pelvic region through rectum	31	31	$294.00	$33.47
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	30	$273.00	$52.97
55700 Biopsy of prostate gland	30	30	$415.00	$129.87
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	29	18	$139.00	$28.60
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	28	26	$105.00	$9.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	21	$133.00	$72.13
87077 Bacterial culture for aerobic isolates	28	26	$105.00	$8.79
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$180.00	$100.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	18	$50.00	$21.71
52005 Insertion of tube into ureter using an endoscope through bladder area	21	21	$724.00	$97.61
82962 Blood glucose (sugar) test performed by hand-held instrument	17	16	$55.00	$3.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$100.00	$39.10
74420 Imaging of urinary tract	16	15	$256.00	$25.71
74420 Imaging of urinary tract	14	14	$256.00	$25.71
82962 Blood glucose (sugar) test performed by hand-held instrument	14	13	$55.00	$3.21
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	14	$1379.00	$146.82
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2065.00	$740.00
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$779.00	$241.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,700	17	$1.00	$0.12
81002 Urinalysis, manual test	639	483	$24.00	$3.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	403	318	$180.00	$103.05
51798 Ultrasound measurement of bladder capacity after voiding	204	161	$81.00	$14.48
36415 Insertion of needle into vein for collection of blood sample	194	156	$30.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	170	150	$154.00	$69.23
84153 Psa (prostate specific antigen) measurement, total	161	133	$71.00	$22.12
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	141	16	$1011.00	$211.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$242.27	$102.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	100	55	$49.00	$20.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$298.00	$156.46
52000 Diagnostic exam of bladder and urethra using an endoscope	75	64	$495.81	$81.37
51705 Removal of skin suture with change of bladder tube	71	27	$198.00	$88.20
87086 Bacterial colony count, urine	59	50	$39.00	$9.76
82565 Blood creatinine level	46	42	$37.00	$6.20
99221 Initial hospital inpatient care per day, typically 30 minutes	44	41	$174.32	$99.46
84520 Urea nitrogen level to assess kidney function	43	39	$29.00	$4.78
87088 Bacterial urine culture	40	32	$39.00	$9.79
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	39	38	$272.79	$56.59
55700 Biopsy of prostate gland	39	38	$402.69	$129.05
76872 Ultrasound scan of pelvic region through rectum	38	37	$294.00	$33.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	31	$129.00	$71.33
82962 Blood glucose (sugar) test performed by hand-held instrument	34	30	$55.00	$3.21
86316 Analysis for detection of tumor marker	32	31	$51.00	$25.19
84154 Psa (prostate specific antigen) measurement, free	32	31	$165.00	$22.26
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	24	$986.56	$147.45
87077 Bacterial culture for aerobic isolates	26	21	$105.00	$9.77
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	23	18	$105.00	$10.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$273.00	$140.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	14	$108.89	$19.38
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	19	$1339.00	$151.91
51702 Simple insertion of temporary bladder tube	18	13	$267.00	$57.77
74420 Imaging of urinary tract	18	17	$256.00	$32.83
74420 Imaging of urinary tract	17	16	$256.00	$17.33
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	16	15	$906.00	$183.80
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$779.00	$254.65
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	14	$135.00	$28.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$97.00	$38.47
52204 Biopsy of the bladder using an endoscope	13	11	$699.00	$118.44
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1993.00	$418.66
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2005.00	$730.27
80048 Blood test, basic group of blood chemicals (calcium, total)	12	11	$28.00	$9.38
81000 Manual urinalysis test with examination using microscope, non-automated	11	11	$30.00	$3.58
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$703.00	$97.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	1,600	16	$2.00	$0.80
81002 Urinalysis, manual test	620	483	$24.00	$3.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	465	365	$174.75	$101.73
51798 Ultrasound measurement of bladder capacity after voiding	251	200	$79.00	$17.76
36415 Insertion of needle into vein for collection of blood sample	216	178	$29.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	184	158	$71.00	$24.61
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	178	94	$48.00	$19.05
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	138	16	$982.00	$208.98
99213 Established patient office or other outpatient visit, typically 15 minutes	129	116	$148.88	$69.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$232.55	$103.08
51705 Removal of skin suture with change of bladder tube	103	37	$192.00	$86.92
52000 Diagnostic exam of bladder and urethra using an endoscope	89	80	$482.00	$98.58
87086 Bacterial colony count, urine	72	60	$39.00	$10.73
99221 Initial hospital inpatient care per day, typically 30 minutes	68	68	$160.00	$99.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	44	$94.00	$37.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$289.00	$157.84
88112 Cell examination of specimen, selective cellular enhancement technique	45	37	$192.29	$34.63
87088 Bacterial urine culture	44	37	$39.00	$10.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	41	$264.00	$138.85
88305 Pathology examination of tissue using a microscope, intermediate complexity	39	22	$244.46	$26.77
84154 Psa (prostate specific antigen) measurement, free	36	36	$165.00	$24.73
51702 Simple insertion of temporary bladder tube	35	17	$259.00	$59.73
86316 Analysis for detection of tumor marker	35	35	$51.00	$19.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	30	$125.00	$70.41
87077 Bacterial culture for aerobic isolates	31	26	$105.00	$10.53
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	25	$1017.29	$142.23
82565 Blood creatinine level	30	30	$37.00	$3.59
55700 Biopsy of prostate gland	28	28	$391.00	$131.23
84520 Urea nitrogen level to assess kidney function	28	28	$29.00	$2.67
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	26	$261.44	$56.58
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	27	22	$105.00	$10.39
76872 Ultrasound scan of pelvic region through rectum	25	25	$280.20	$32.92
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	23	16	$131.00	$30.46
88121 Cell examination of urine, computer-assisted	21	17	$597.81	$376.42
82962 Blood glucose (sugar) test performed by hand-held instrument	21	18	$55.00	$3.15
76376 3d radiographic procedure	16	16	$164.00	$12.35
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$1286.25	$151.37
74420 Imaging of urinary tract	16	14	$249.00	$16.34
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$756.00	$231.33
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$1947.00	$841.01
74000 X-ray of abdomen, single view	14	11	$140.00	$12.51
74420 Imaging of urinary tract	13	13	$249.00	$17.28
81000 Manual urinalysis test with examination using microscope, non-automated	13	13	$30.00	$4.26
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$735.54	$84.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$189.00	$133.62
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	11	11	$880.00	$195.54

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301094972

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.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 35125792

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

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Rr

CC2433 (OH)

Hospital & Practice Group Affiliations

Tri State Urologic Services Psc Inc

3301 Mercy Health Blvd, Cincinnati, OH 452111118

Phone: 5138417700

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Marc Pliskin , DO

Urology

NPI 1174569362

Doctor of Osteopathic Medicine (D.O.)

Dr. Alan Cordell , MD

Urology

NPI 1316988108

Doctor of Medicine (M.D.)

Melissa Helton , NP-C

Nurse Practitioner - Family

NPI 1427561448

Nurse Practitioner (Certified)

Dr. Rebecca Roedersheimer , MD

Urology

NPI 1538388848

Doctor of Medicine (M.D.)

Dr. Eric Kuhn , MD

Urology

NPI 1780620047

Doctor of Medicine (M.D.)

Lindsey Flanagan , APRN

Nurse Practitioner - Acute Care

NPI 1831873058

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 19, 2015

Registered at 3301 MERCY HEALTH BLVD, SUITE 525, CINCINNATI, OH 452111118 (Tel: 5138417700)

📍

Updated Business Mailing Address June 19, 2015

Registered at 2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 452121979 (Tel: 5138417400)

👤

Provider Name / Credentials Updated June 19, 2015

Recorded as MATTHEW FULTON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2015

Surgery (License #4301094972 in MI)

🟢

Initial NPI Registration & Enumeration July 17, 2009

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: 1255561775

Entity Type:

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

Enumeration Date: July 17, 2009

Last Update: June 19, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Joseph E Sanker Blvd

Cincinnati, OH 452121979

Phone: 5138417400

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.