Active NPI 1831639434 Individual Practitioner Male Practitioner

Dr. Ajay Gopalakrishna , MD

Urology • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ajay Gopalakrishna, MD is a certified Urology practicing in Toledo, OH. With approximately 9 years of clinical experience since graduating from Duke University School Of Medicine in 2017, Dr. Gopalakrishna delivers high-quality medical care to the local community at 2120 W CENTRAL AVE.

Dr. Gopalakrishna maintains professional affiliations with Promedica Genito-Urinary Surgeons Llc, Georgia Urology, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, urinalysis using microscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2120 W Central Ave

Toledo, OH 436063834

Telephone 4195318558

Fax 4195318798

Associated Practice Facility / Clinic

🏢 Promedica Genito-Urinary Surgeons Llc Facility NPI 1366795221

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Toledo, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -16.8 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

33 Specialists

Practicing in Toledo, OH (564 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gopalakrishna (9 Years) 9 Yrs

Toledo Specialty Average (25.8 Years) 25.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	192	$235.00	$118.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	251	251	$362.00	$156.48
81015 Urinalysis using microscope	192	128	$9.00	$2.98
51798 Ultrasound measurement of bladder capacity after voiding	159	135	$61.00	$9.82
81003 Automated urinalysis test	148	122	$8.00	$2.16
99213 Established patient office or other outpatient visit, typically 15 minutes	133	124	$157.00	$84.70
36415 Insertion of needle into vein for collection of blood sample	109	85	$19.06	$8.65
52000 Diagnostic exam of bladder and urethra using an endoscope	72	66	$544.35	$210.22
74420 Imaging of urinary tract	36	27	$226.00	$22.93
76872 Ultrasound scan of pelvic region through rectum	25	25	$128.00	$29.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	20	$1515.24	$136.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	20	$97.00	$46.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$236.00	$104.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$309.00	$123.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$168.00	$74.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$453.00	$163.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$96.00	$49.86
55700 Biopsy of prostate gland	16	16	$700.00	$220.17
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$1196.00	$277.89
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1302.02	$391.46
55700 Biopsy of prostate gland	12	12	$700.00	$118.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$333.00	$159.37
81015 Urinalysis using microscope	79	59	$9.00	$2.99
81003 Automated urinalysis test	64	50	$8.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	37	$216.00	$121.81
51798 Ultrasound measurement of bladder capacity after voiding	37	32	$57.00	$9.62
52000 Diagnostic exam of bladder and urethra using an endoscope	35	34	$552.00	$222.80
36415 Insertion of needle into vein for collection of blood sample	30	28	$19.00	$8.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$217.00	$106.88
74420 Imaging of urinary tract	13	11	$215.85	$23.82
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$144.00	$85.91

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	34	34	$290.00	$120.17
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$189.00	$89.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$476.00	$166.32
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$993.00	$253.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$46.00	$23.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	49	$90.78	$91.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	35	$23.68	$23.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$218.55	$221.19
52000 Diagnostic exam of bladder and urethra using an endoscope	20	20	$239.64	$242.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$179.46	$181.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$128.81	$130.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$165.66	$167.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	54	$76.55	$74.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	53	52	$24.74	$22.34
52000 Diagnostic exam of bladder and urethra using an endoscope	32	32	$213.85	$216.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$114.42	$105.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$162.85	$164.02
51798 Ultrasound measurement of bladder capacity after voiding	12	12	$10.36	$10.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	50	$77.80	$72.98
52000 Diagnostic exam of bladder and urethra using an endoscope	37	37	$207.80	$188.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$204.48	$201.21
51798 Ultrasound measurement of bladder capacity after voiding	20	20	$21.43	$12.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$145.04	$142.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$117.14	$106.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$162.82	$160.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$167.57	$164.89