Active NPI 1952305989 Individual Practitioner Male Practitioner

Dr. Paul John Roberto , MD

Urology • Midlothian, VA

Professional Overview & Biography Verified Profile Summary

Dr. Paul Roberto, MD is a registered healthcare professional specializing in Urology in Midlothian, VA. Practice services are available at 6055 HARBOUR PARK DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6055 Harbour Park Drive

Midlothian, VA 231122160

Telephone 8046397777

Fax 8048232720

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Midlothian, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Midlothian, VA (381 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	215	113	$10.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	185	104	$151.00	$91.62
51798 Ultrasound measurement of bladder capacity after voiding	76	36	$21.00	$10.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	33	$260.00	$129.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$217.00	$114.18
52000 Diagnostic exam of bladder and urethra using an endoscope	30	29	$429.00	$229.66
51725 Simple measurement of pressure of urine flow in bladder	25	18	$432.00	$155.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$332.00	$170.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	605	324	$30.00	$2.15
99213 Established patient office or other outpatient visit, typically 15 minutes	329	215	$151.00	$73.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	174	$227.00	$107.34
51798 Ultrasound measurement of bladder capacity after voiding	175	116	$42.00	$10.06
36415 Insertion of needle into vein for collection of blood sample	101	99	$10.00	$2.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$348.00	$162.87
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	84	12	$566.14	$219.53
51725 Simple measurement of pressure of urine flow in bladder	65	58	$481.00	$206.04
52000 Diagnostic exam of bladder and urethra using an endoscope	60	59	$476.00	$141.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$225.00	$106.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$92.00	$39.61
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$222.00	$102.34
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	14	12	$79.00	$31.66
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	12	$1089.00	$83.94
50590 Shock wave crushing of kidney stones	14	11	$2114.00	$585.02
76872 Ultrasound scan of pelvic region through rectum	13	13	$299.00	$144.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$404.00	$57.55
55700 Biopsy of prostate gland	13	13	$525.00	$251.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$89.00	$44.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	978	417	$30.00	$2.42
99213 Established patient office or other outpatient visit, typically 15 minutes	629	320	$151.00	$73.69
51798 Ultrasound measurement of bladder capacity after voiding	219	138	$42.00	$12.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	144	$227.00	$108.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$348.00	$162.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$225.00	$107.80
51725 Simple measurement of pressure of urine flow in bladder	100	83	$481.00	$200.60
36415 Insertion of needle into vein for collection of blood sample	98	90	$10.00	$2.91
52000 Diagnostic exam of bladder and urethra using an endoscope	97	84	$476.00	$135.19
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	11	$783.00	$222.33
99221 Initial hospital inpatient care per day, typically 30 minutes	44	41	$222.00	$101.07
51703 Complicated insertion of bladder tube	36	13	$316.00	$133.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	20	$92.00	$39.27
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	21	$1089.00	$114.14
50590 Shock wave crushing of kidney stones	25	22	$2114.00	$564.61
76872 Ultrasound scan of pelvic region through rectum	12	12	$299.00	$127.81
55700 Biopsy of prostate gland	12	12	$525.00	$251.04
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$404.00	$56.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	457	239	$30.00	$2.70
99213 Established patient office or other outpatient visit, typically 15 minutes	368	218	$147.68	$71.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$224.77	$106.88
51798 Ultrasound measurement of bladder capacity after voiding	102	71	$41.38	$15.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	83	$210.06	$106.93
52000 Diagnostic exam of bladder and urethra using an endoscope	87	83	$463.69	$107.53
51725 Simple measurement of pressure of urine flow in bladder	76	71	$466.82	$188.58
81000 Manual urinalysis test with examination using microscope, non-automated	63	45	$17.00	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$344.62	$163.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	21	$92.00	$38.98
36415 Insertion of needle into vein for collection of blood sample	34	31	$8.74	$2.85
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$222.00	$100.67
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1819.67	$741.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	357	149	$17.07	$4.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	116	$187.00	$105.31
51798 Ultrasound measurement of bladder capacity after voiding	71	41	$33.00	$19.06
99213 Established patient office or other outpatient visit, typically 15 minutes	60	42	$124.88	$70.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	17	$131.14	$71.32
52000 Diagnostic exam of bladder and urethra using an endoscope	46	39	$357.00	$120.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$286.00	$161.78
51725 Simple measurement of pressure of urine flow in bladder	31	28	$327.00	$185.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	24	11	$159.00	$90.14
99306 Initial nursing facility visit, typically 45 minutes per day	19	18	$299.84	$164.66
36415 Insertion of needle into vein for collection of blood sample	16	16	$4.65	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$251.00	$142.40

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License VA 0101057462

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

Medicaid State Provider ID

7502206 (VA)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2016

Registered at 6055 HARBOUR PARK DRIVE, MIDLOTHIAN, VA 231122160 (Tel: 8046397777)

📍

Updated Business Mailing Address October 07, 2016

Registered at 6055 HARBOUR PARK DRIVE, MIDLOTHIAN, VA 231122160 (Tel: 8046397777)

👤

Provider Name / Credentials Updated October 07, 2016

Recorded as PAUL ROBERTO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2016

Urology (License #0101057462 in VA)

🟢

Initial NPI Registration & Enumeration June 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952305989

Entity Type:

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

Enumeration Date: June 08, 2005

Last Update: October 07, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6055 Harbour Park Drive

Midlothian, VA 231122160

Phone: 8046397777

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.