Active NPI 1710930607 Individual Practitioner Male Practitioner

Dr. Raymond S. Lance , MD

Urology • Spokane, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Lance, MD is a certified Urology practicing in Spokane, WA. With approximately 35 years of clinical experience since graduating from Uniformed Services Uhs Fe Hebert School Of Med in 1991, Dr. Lance delivers high-quality medical care to the local community at 1401 E TRENT AVE STE 200.

Dr. Lance is affiliated with Spokane Urology Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, 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, 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

1401 E Trent Ave Ste 200

Spokane, WA 992022902

Telephone 5097473147

Fax 5097470020

Associated Practice Facility / Clinic

🏢 Spokane Urology Pllc Facility NPI 1912015439

Medicare Profile & Education

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +12.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Spokane, WA (351 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lance (35 Years) 35 Yrs

Spokane Specialty Average (23.0 Years) 23.0 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
J0897 Injection, denosumab, 1 mg	2,340	13	$33.20	$25.76
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	747	466	$45.00	$16.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	407	286	$242.00	$126.61
99213 Established patient office or other outpatient visit, typically 15 minutes	384	273	$167.00	$90.14
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	172	24	$385.70	$174.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$348.00	$163.99
36415 Insertion of needle into vein for collection of blood sample	140	119	$21.00	$8.59
J3315 Injection, triptorelin pamoate, 3.75 mg	117	20	$1116.94	$445.52
81002 Urinalysis, manual test	109	93	$33.00	$3.38
76872 Ultrasound scan of pelvic region through rectum	93	91	$160.00	$31.39
52000 Diagnostic exam of bladder and urethra using an endoscope	83	67	$513.00	$236.80
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	71	25	$63.43	$62.43
55706 Needle stereotactic and image-guided biopsy of prostate gland	69	69	$825.00	$361.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	53	$88.00	$14.12
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	65	38	$101.00	$35.19
J3260 Injection, tobramycin sulfate, up to 80 mg	53	18	$8.15	$2.57
74420 Imaging of urinary tract	52	37	$54.00	$23.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	50	50	$75.00	$18.92
J1580 Injection, garamycin, gentamicin, up to 80 mg	43	15	$5.16	$2.44
76872 Ultrasound scan of pelvic region through rectum	38	38	$243.82	$136.18
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	37	21	$48.69	$47.91
55700 Biopsy of prostate gland	31	31	$618.00	$236.68
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	21	$425.81	$139.56
52000 Diagnostic exam of bladder and urethra using an endoscope	29	27	$300.00	$76.55
51798 Ultrasound measurement of bladder capacity after voiding	29	27	$50.00	$11.50
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	25	25	$3500.00	$1160.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$131.00	$56.53
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	22	22	$1500.00	$322.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$388.00	$179.89
84403 Testosterone (hormone) level, total	17	16	$48.00	$25.29
84153 Psa (prostate specific antigen) measurement, total	15	14	$75.00	$18.02
55874 Injection of biodegradable material next to prostate	12	12	$500.00	$160.14
55876 Placement of device in prostate for radiation therapy	12	12	$300.00	$46.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$300.00	$127.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,140	11	$33.20	$23.16
99213 Established patient office or other outpatient visit, typically 15 minutes	484	308	$167.00	$91.05
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	193	28	$380.00	$171.91
81002 Urinalysis, manual test	136	107	$33.00	$3.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	121	$242.82	$128.54
52000 Diagnostic exam of bladder and urethra using an endoscope	127	100	$513.00	$241.51
36415 Insertion of needle into vein for collection of blood sample	118	98	$21.00	$8.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$348.00	$166.82
J1580 Injection, garamycin, gentamicin, up to 80 mg	93	31	$5.16	$2.78
74420 Imaging of urinary tract	71	47	$54.00	$24.52
G0103 Prostate cancer screening; prostate specific antigen test (psa)	69	69	$75.00	$18.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	49	$131.00	$57.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	50	$88.00	$14.42
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	53	33	$101.00	$34.32
76872 Ultrasound scan of pelvic region through rectum	49	47	$243.82	$106.36
76872 Ultrasound scan of pelvic region through rectum	47	45	$160.00	$32.13
51798 Ultrasound measurement of bladder capacity after voiding	47	38	$50.00	$10.70
99441 Telephone medical discussion with physician, 5-10 minutes	46	37	$76.00	$56.96
55706 Needle stereotactic and image-guided biopsy of prostate gland	43	43	$825.00	$372.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	41	27	$439.02	$144.48
84153 Psa (prostate specific antigen) measurement, total	32	28	$75.00	$18.02
55700 Biopsy of prostate gland	32	32	$618.00	$246.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$243.00	$112.33
99442 Telephone medical discussion with physician, 11-20 minutes	26	25	$126.00	$91.53
84403 Testosterone (hormone) level, total	24	17	$48.00	$25.29
52204 Biopsy of the bladder using an endoscope	19	16	$350.00	$96.16
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	18	18	$1700.00	$822.56
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	15	$492.12	$327.82
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$250.00	$82.94
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	15	15	$3570.00	$1185.75
51700 Simple bladder irrigation and/or instillation	15	14	$127.51	$73.13
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$1500.00	$329.98
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$915.38	$439.05
84154 Psa (prostate specific antigen) measurement, free	13	13	$45.00	$18.02
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	12	12	$450.00	$121.93
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$182.00	$128.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	2,320	12	$6.60	$4.01
99213 Established patient office or other outpatient visit, typically 15 minutes	490	332	$167.00	$91.52
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	207	29	$380.00	$173.29
81002 Urinalysis, manual test	183	145	$33.00	$3.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	148	$131.32	$57.52
52000 Diagnostic exam of bladder and urethra using an endoscope	132	99	$513.00	$248.36
99441 Telephone medical discussion with physician, 5-10 minutes	96	80	$76.00	$56.31
36415 Insertion of needle into vein for collection of blood sample	81	73	$21.00	$2.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$243.00	$110.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	65	$242.00	$129.46
51798 Ultrasound measurement of bladder capacity after voiding	61	53	$50.00	$10.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	52	52	$75.00	$18.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	45	31	$101.00	$34.25
76872 Ultrasound scan of pelvic region through rectum	44	42	$160.00	$32.91
A4648 Tissue marker, implantable, any type, each	43	11	$72.00	$17.51
74420 Imaging of urinary tract	43	27	$54.00	$24.98
55706 Needle stereotactic and image-guided biopsy of prostate gland	41	41	$825.00	$377.57
99442 Telephone medical discussion with physician, 11-20 minutes	36	34	$126.00	$87.33
76872 Ultrasound scan of pelvic region through rectum	34	33	$243.82	$31.53
84403 Testosterone (hormone) level, total	32	28	$48.00	$25.42
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	13	$453.33	$153.81
84153 Psa (prostate specific antigen) measurement, total	26	25	$75.00	$18.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	20	$88.00	$14.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$348.00	$168.67
84154 Psa (prostate specific antigen) measurement, free	20	20	$45.00	$17.42
55700 Biopsy of prostate gland	13	13	$618.00	$223.01
51741 Electronic assessment of bladder emptying	13	13	$189.00	$7.03
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	13	13	$1500.00	$373.61
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	12	12	$3500.00	$1418.05
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	12	12	$667.00	$386.55
55876 Placement of device in prostate for radiation therapy	11	11	$445.00	$84.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	5,120	17	$6.55	$3.99
99213 Established patient office or other outpatient visit, typically 15 minutes	769	447	$167.00	$92.53
81002 Urinalysis, manual test	384	287	$33.00	$3.47
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	375	54	$380.00	$175.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	173	136	$131.00	$57.26
52000 Diagnostic exam of bladder and urethra using an endoscope	122	89	$513.00	$244.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$243.00	$112.43
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	107	62	$101.00	$33.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	81	$242.00	$132.04
51798 Ultrasound measurement of bladder capacity after voiding	88	73	$50.00	$10.62
J1580 Injection, garamycin, gentamicin, up to 80 mg	80	27	$4.51	$1.86
A4648 Tissue marker, implantable, any type, each	75	20	$72.00	$20.01
74420 Imaging of urinary tract	58	39	$54.00	$25.29
36415 Insertion of needle into vein for collection of blood sample	54	51	$21.00	$2.95
76872 Ultrasound scan of pelvic region through rectum	49	45	$243.82	$72.23
76872 Ultrasound scan of pelvic region through rectum	47	44	$160.00	$32.83
G0103 Prostate cancer screening; prostate specific antigen test (psa)	47	47	$75.00	$19.31
55706 Needle stereotactic and image-guided biopsy of prostate gland	44	44	$825.00	$373.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	25	$88.00	$14.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	22	$457.14	$163.83
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	28	28	$3500.00	$1456.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$348.00	$170.44
55700 Biopsy of prostate gland	25	25	$618.00	$258.59
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	25	25	$1500.00	$336.04
55876 Placement of device in prostate for radiation therapy	22	22	$445.00	$91.07
84153 Psa (prostate specific antigen) measurement, total	20	18	$75.00	$17.66
55874 Injection of biodegradable material next to prostate	18	18	$7200.00	$3337.00
52204 Biopsy of the bladder using an endoscope	13	13	$350.00	$105.39
84154 Psa (prostate specific antigen) measurement, free	12	11	$45.00	$18.39
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$187.00	$74.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	5,360	15	$6.06	$3.90
99213 Established patient office or other outpatient visit, typically 15 minutes	759	406	$166.07	$75.46
81002 Urinalysis, manual test	735	456	$33.00	$3.44
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	538	71	$380.00	$219.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	153	$240.24	$109.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	158	158	$242.60	$108.66
J1580 Injection, garamycin, gentamicin, up to 80 mg	147	36	$3.00	$1.90
51798 Ultrasound measurement of bladder capacity after voiding	138	113	$50.00	$10.33
36415 Insertion of needle into vein for collection of blood sample	116	101	$21.00	$2.95
52000 Diagnostic exam of bladder and urethra using an endoscope	115	86	$510.30	$212.13
G0103 Prostate cancer screening; prostate specific antigen test (psa)	113	113	$75.00	$19.15
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	109	70	$101.00	$31.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	65	$131.00	$46.17
A4648 Tissue marker, implantable, any type, each	84	21	$72.00	$28.33
84153 Psa (prostate specific antigen) measurement, total	71	63	$75.00	$17.84
76872 Ultrasound scan of pelvic region through rectum	62	58	$229.46	$146.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	34	$81.73	$14.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	46	27	$453.49	$148.67
55700 Biopsy of prostate gland	37	36	$618.00	$251.84
76872 Ultrasound scan of pelvic region through rectum	37	37	$160.00	$34.29
55706 Needle stereotactic and image-guided biopsy of prostate gland	30	30	$863.37	$386.47
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	29	29	$3665.95	$1482.84
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$187.00	$75.10
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	28	28	$1706.93	$341.81
74420 Imaging of urinary tract	26	23	$54.00	$26.03
84154 Psa (prostate specific antigen) measurement, free	23	21	$33.00	$18.16
55876 Placement of device in prostate for radiation therapy	23	23	$445.00	$81.33
55874 Injection of biodegradable material next to prostate	22	22	$7200.00	$3170.99
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	11	$515.47	$297.93
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$250.00	$102.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$150.00	$73.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	3,360	12	$6.00	$3.80
99213 Established patient office or other outpatient visit, typically 15 minutes	732	394	$167.00	$74.58
81002 Urinalysis, manual test	594	355	$33.00	$3.37
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	489	59	$400.98	$222.76
36415 Insertion of needle into vein for collection of blood sample	253	162	$21.00	$2.91
84153 Psa (prostate specific antigen) measurement, total	182	134	$75.00	$19.90
51798 Ultrasound measurement of bladder capacity after voiding	166	127	$50.00	$12.99
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	136	64	$101.00	$31.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$243.00	$107.48
52000 Diagnostic exam of bladder and urethra using an endoscope	110	78	$513.00	$192.84
J1580 Injection, garamycin, gentamicin, up to 80 mg	89	31	$4.45	$1.76
A4648 Tissue marker, implantable, any type, each	80	20	$72.00	$25.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	68	$242.00	$109.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	48	$131.00	$45.82
74420 Imaging of urinary tract	65	33	$54.00	$26.24
51702 Simple insertion of temporary bladder tube	42	15	$255.00	$63.58
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	20	$882.20	$156.48
76872 Ultrasound scan of pelvic region through rectum	34	34	$456.00	$131.17
55700 Biopsy of prostate gland	30	30	$618.00	$256.70
G0103 Prostate cancer screening; prostate specific antigen test (psa)	25	25	$75.00	$20.03
55876 Placement of device in prostate for radiation therapy	21	21	$445.00	$79.84
55874 Injection of biodegradable material next to prostate	19	19	$5926.00	$3582.04
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	19	19	$6524.42	$1496.19
76775 Limited ultrasound scan behind abdominal cavity	17	17	$329.00	$59.60
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$295.00	$102.45
55706 Needle stereotactic and image-guided biopsy of prostate gland	16	16	$1976.00	$350.39
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	16	16	$4582.00	$343.06
52204 Biopsy of the bladder using an endoscope	15	15	$625.00	$146.15
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	14	14	$1857.00	$487.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$130.00	$39.82
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	12	12	$2969.00	$854.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$348.00	$166.51
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	12	12	$790.00	$226.71
51700 Simple bladder irrigation and/or instillation	11	11	$107.00	$76.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9155 Injection, degarelix, 1 mg	5,040	16	$6.00	$3.62
81002 Urinalysis, manual test	691	401	$22.22	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	636	379	$156.19	$72.88
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	348	46	$424.31	$211.65
51798 Ultrasound measurement of bladder capacity after voiding	205	150	$42.73	$16.10
36415 Insertion of needle into vein for collection of blood sample	197	132	$20.63	$2.93
84153 Psa (prostate specific antigen) measurement, total	154	111	$66.34	$22.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	114	$220.70	$106.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$217.06	$108.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	118	57	$98.92	$31.07
52000 Diagnostic exam of bladder and urethra using an endoscope	106	76	$459.51	$168.31
J1580 Injection, garamycin, gentamicin, up to 80 mg	94	32	$5.91	$1.49
74420 Imaging of urinary tract	74	47	$46.38	$17.54
76872 Ultrasound scan of pelvic region through rectum	50	48	$352.32	$96.81
55700 Biopsy of prostate gland	45	45	$545.93	$253.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$129.22	$44.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	21	$125.89	$39.25
76775 Limited ultrasound scan behind abdominal cavity	34	34	$293.74	$55.86
52332 Insertion of stent in urinary duct (ureter) using an endoscope	30	23	$712.80	$151.59
99221 Initial hospital inpatient care per day, typically 30 minutes	29	26	$269.90	$101.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$329.93	$164.84
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	27	27	$5793.40	$1432.08
51702 Simple insertion of temporary bladder tube	24	15	$222.08	$65.29
J0696 Injection, ceftriaxone sodium, per 250 mg	22	11	$6.00	$0.58
76770 Complete ultrasound scan behind abdominal cavity	15	15	$284.40	$115.47
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	14	14	$2481.00	$842.77
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$4207.79	$339.26
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$4321.50	$706.61
77021 Radiological supervision and interpretation of MRI guidance for insertion of needle	12	12	$1670.83	$395.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	602	333	$10.00	$3.42
99213 Established patient office or other outpatient visit, typically 15 minutes	504	297	$142.23	$69.70
51798 Ultrasound measurement of bladder capacity after voiding	321	188	$40.00	$18.70
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	258	33	$425.00	$208.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	144	$206.00	$102.62
52000 Diagnostic exam of bladder and urethra using an endoscope	113	83	$408.00	$154.21
J1580 Injection, garamycin, gentamicin, up to 80 mg	97	32	$6.00	$1.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$200.00	$103.28
36415 Insertion of needle into vein for collection of blood sample	90	75	$20.00	$2.92
74420 Imaging of urinary tract	76	40	$40.00	$16.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$325.00	$156.63
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	60	35	$96.00	$31.47
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	24	$864.00	$133.94
51705 Removal of skin suture with change of bladder tube	34	12	$189.00	$87.94
76872 Ultrasound scan of pelvic region through rectum	32	32	$249.69	$90.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	31	31	$386.00	$58.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	19	$121.00	$37.29
84153 Psa (prostate specific antigen) measurement, total	30	28	$46.00	$24.15
55700 Biopsy of prostate gland	29	29	$477.00	$233.58
52648 Laser vaporization of prostate including control of bleeding using an endoscope	24	22	$3901.00	$667.18
51702 Simple insertion of temporary bladder tube	22	12	$184.45	$60.95
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$243.00	$96.26
51703 Complicated insertion of bladder tube	14	14	$442.00	$74.27
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	14	14	$5039.00	$1395.91
51741 Electronic assessment of bladder emptying	13	11	$165.00	$12.89

Medical Specialties & State Licenses

CMS Verified: 2020-09-01

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD00039663

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.

Urology

NUCC Taxonomy Code: 208800000X

State License VA 0101240091

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010285976 (VA)

Medicaid State Provider ID

MD4546 (AK)

Commercial Insurance / Payer ID Bc/bs

201665 (VA)

Commercial Insurance / Payer ID Sentara

10010603 (VA)

Commercial Insurance / Payer ID Anthem

1710930607 (VA)

Hospital & Practice Group Affiliations

Spokane Urology Pllc

1401 E Trent Ave, Spokane, WA 992022902

Phone: 5097473147

Practice Associates & Co-Workers

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

21 Associated Practitioners

Susan Cain , ARNP

Nurse Practitioner

NPI 1033227863

Advanced Registered Nurse Practitioner

Anna Schweiger

Physician Assistant

NPI 1033992672

Dr. Carl Walker , MD

Urology

NPI 1053301440

Doctor of Medicine (M.D.)

Dr. Evan Carlos , MD

Urology

NPI 1063807477

Doctor of Medicine (M.D.)

Dr. Duncan Sloan , MD

Urology

NPI 1124482385

Doctor of Medicine (M.D.)

Dr. Thomas Fairchild , MD

Urology

NPI 1154439735

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Urology (License #0101240091 in VA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2020

Urology (License #MD00039663 in WA)

📍

Updated Practice Location February 11, 2020

Registered at 1401 E TRENT AVE STE 200, SPOKANE, WA 992022902 (Tel: 5097473147)

📍

Updated Business Mailing Address February 11, 2020

Registered at 1401 E TRENT AVE STE 200, SPOKANE, WA 992022902 (Tel: 5097473147)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2020

Urology (License #0101240091 in VA)

✅

NPI Profile Active November 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2014

Registered at 820 S MCCLELLAN ST, SUITE 118, SPOKANE, WA 992042457 (Tel: 5097473147)

📍

Updated Business Mailing Address November 14, 2014

Registered at 820 S MCCLELLAN ST, SUITE 118, SPOKANE, WA 992042457 (Tel: 5097473147)

👤

Provider Name / Credentials Updated November 14, 2014

Recorded as RAYMOND LANCE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2014

Urology (License #MD00039663 in WA)

🟢

Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1710930607

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1401 E Trent Ave Ste 200

Spokane, WA 992022902

Phone: 5097473147

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.