Active NPI 1972524825 Individual Practitioner Female Practitioner

Dr. Thomas G. Matkov , MD

Urology • Racine, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Matkov, MD is a certified Urology practicing in Racine, WI. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Matkov delivers high-quality medical care to the local community at 3811 SPRING ST.

Dr. Matkov is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3811 Spring St
Ste 202

Racine, WI 534051667

Telephone 2626878202

Associated Practice Facility / Clinic

🏢 A.q.khan, M.d., S.c. Facility NPI 1023349057

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Racine, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Racine, WI (278 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Matkov (31 Years) 31 Yrs

Racine Specialty Average (31.0 Years) 31.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	751	478	$515.00	$116.93
51798 Ultrasound measurement of bladder capacity after voiding	380	283	$140.00	$10.32
51741 Electronic assessment of bladder emptying	265	207	$180.00	$12.72
52000 Diagnostic exam of bladder and urethra using an endoscope	106	76	$1790.00	$212.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$755.00	$154.63
51705 Removal of skin suture with change of bladder tube	37	11	$915.00	$90.73
81003 Automated urinalysis test	30	25	$30.00	$2.05
51702 Simple insertion of temporary bladder tube	24	14	$820.00	$57.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	17	$525.00	$109.87
52287 Exam with injections of chemical for destruction of bladder using an endoscope	21	13	$2730.00	$281.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	14	$733.33	$159.31
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	11	$2135.63	$114.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$915.00	$160.06
76872 Ultrasound scan of pelvic region through rectum	12	12	$1450.00	$129.87
55700 Biopsy of prostate gland	12	12	$1790.00	$213.11

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	840	497	$490.00	$118.80
51798 Ultrasound measurement of bladder capacity after voiding	413	299	$135.00	$9.73
51741 Electronic assessment of bladder emptying	288	221	$175.00	$12.34
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	109	13	$775.00	$169.04
52000 Diagnostic exam of bladder and urethra using an endoscope	101	75	$1710.00	$227.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$720.00	$156.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	19	$500.00	$111.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	19	$695.58	$168.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	13	$165.00	$31.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$875.00	$162.83
81002 Urinalysis, manual test	18	13	$30.00	$3.41
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	14	$2142.78	$104.10
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$2310.00	$283.13
81003 Automated urinalysis test	18	17	$30.00	$2.08
55700 Biopsy of prostate gland	15	15	$1710.00	$226.20
76872 Ultrasound scan of pelvic region through rectum	14	14	$1430.00	$130.39
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$330.00	$82.71

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	897	524	$465.00	$120.93
51798 Ultrasound measurement of bladder capacity after voiding	428	313	$134.00	$9.69
51741 Electronic assessment of bladder emptying	300	224	$183.00	$12.29
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	132	14	$775.00	$177.83
52000 Diagnostic exam of bladder and urethra using an endoscope	129	92	$1640.00	$233.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$687.00	$155.56
81003 Automated urinalysis test	44	35	$30.00	$2.18
76872 Ultrasound scan of pelvic region through rectum	28	28	$1356.43	$131.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	19	$658.00	$171.57
55700 Biopsy of prostate gland	27	27	$1640.00	$219.07
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	25	14	$160.00	$31.61
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	17	$4445.65	$115.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	16	$480.00	$96.27
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	13	$2210.00	$307.50
81002 Urinalysis, manual test	13	13	$30.00	$3.43
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	11	$5890.77	$362.53
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$313.00	$86.16

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	885	537	$435.00	$124.73
51798 Ultrasound measurement of bladder capacity after voiding	364	271	$135.00	$9.73
51741 Electronic assessment of bladder emptying	265	218	$190.00	$12.93
52000 Diagnostic exam of bladder and urethra using an endoscope	138	98	$1560.00	$226.08
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	133	16	$815.00	$175.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$645.00	$159.13
51705 Removal of skin suture with change of bladder tube	63	18	$802.00	$93.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	37	$450.00	$92.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	35	21	$5424.00	$128.01
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	17	$150.00	$31.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	20	$620.00	$175.65
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	26	$2100.00	$304.38
81003 Automated urinalysis test	27	25	$27.00	$2.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$790.00	$183.09
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	15	$5957.89	$406.69
81002 Urinalysis, manual test	16	16	$29.00	$3.48
55700 Biopsy of prostate gland	14	14	$1560.00	$243.59
76872 Ultrasound scan of pelvic region through rectum	13	13	$1330.00	$128.88

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	784	523	$416.00	$105.05
51798 Ultrasound measurement of bladder capacity after voiding	338	277	$182.00	$9.75
51741 Electronic assessment of bladder emptying	235	204	$208.00	$13.24
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	162	20	$812.00	$225.05
52000 Diagnostic exam of bladder and urethra using an endoscope	122	92	$1460.00	$205.44
51705 Removal of skin suture with change of bladder tube	103	23	$760.00	$92.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$608.00	$159.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	29	$592.06	$140.39
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	44	21	$140.00	$30.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$750.00	$197.44
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	15	$4494.00	$128.76
76872 Ultrasound scan of pelvic region through rectum	18	18	$1270.00	$132.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	15	$430.00	$101.51
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$835.00	$52.87
55700 Biopsy of prostate gland	17	17	$1460.00	$231.56
81003 Automated urinalysis test	16	16	$27.00	$2.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$1970.00	$266.99

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	980	589	$393.00	$105.10
51798 Ultrasound measurement of bladder capacity after voiding	440	315	$177.00	$12.15
51741 Electronic assessment of bladder emptying	328	243	$247.00	$13.35
52000 Diagnostic exam of bladder and urethra using an endoscope	167	139	$1390.00	$184.30
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	113	13	$812.00	$223.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$582.00	$158.65
51705 Removal of skin suture with change of bladder tube	91	19	$724.00	$90.67
51702 Simple insertion of temporary bladder tube	44	16	$763.00	$60.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	26	$569.79	$141.21
81002 Urinalysis, manual test	37	34	$29.00	$3.41
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	29	16	$132.00	$30.04
55700 Biopsy of prostate gland	26	26	$1380.00	$243.19
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	25	$947.00	$55.62
76872 Ultrasound scan of pelvic region through rectum	25	25	$1210.00	$125.10
50590 Shock wave crushing of kidney stones	17	16	$7940.00	$558.04
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$4080.00	$112.02
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$265.00	$71.96
52240 Destruction and/or removal of large growth of bladder using an endoscope	14	12	$5150.00	$356.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$721.00	$196.17
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$1870.00	$261.87
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$27644.17	$677.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$488.00	$132.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	33,226	11	$0.25	$0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,052	600	$374.00	$100.77
51798 Ultrasound measurement of bladder capacity after voiding	540	347	$172.00	$14.71
51741 Electronic assessment of bladder emptying	396	263	$268.00	$14.19
52000 Diagnostic exam of bladder and urethra using an endoscope	200	151	$1320.00	$156.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	129	111	$541.61	$137.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	108	11	$90.00	$18.27
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	105	15	$812.00	$215.15
51705 Removal of skin suture with change of bladder tube	100	20	$686.00	$87.59
81002 Urinalysis, manual test	41	36	$29.00	$3.41
51702 Simple insertion of temporary bladder tube	39	15	$741.00	$59.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$554.00	$156.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	16	$124.00	$29.57
76872 Ultrasound scan of pelvic region through rectum	27	27	$1170.00	$93.63
55700 Biopsy of prostate gland	27	27	$1300.00	$240.03
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	27	$1030.00	$57.79
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	22	$4018.85	$99.62
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$252.00	$67.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$465.00	$130.64
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$1760.00	$235.90
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$28530.71	$677.45
52240 Destruction and/or removal of large growth of bladder using an endoscope	12	12	$5000.00	$379.63

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	978	589	$356.16	$101.02
51798 Ultrasound measurement of bladder capacity after voiding	521	353	$163.00	$17.96
51741 Electronic assessment of bladder emptying	397	288	$306.00	$14.16
52000 Diagnostic exam of bladder and urethra using an endoscope	201	155	$1253.00	$154.32
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	174	21	$788.00	$209.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	171	146	$518.05	$134.20
51705 Removal of skin suture with change of bladder tube	109	24	$646.00	$82.39
81002 Urinalysis, manual test	58	54	$29.00	$3.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$528.00	$153.23
55700 Biopsy of prostate gland	46	46	$1222.00	$232.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	46	46	$1164.41	$56.81
76872 Ultrasound scan of pelvic region through rectum	46	46	$1119.96	$89.71
J9031 Bcg (intravesical) per instillation	44	11	$344.00	$127.50
51720 Instillation of anti-cancer drug into bladder	44	11	$1786.00	$84.51
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	39	21	$116.00	$31.01
52240 Destruction and/or removal of large growth of bladder using an endoscope	20	16	$4948.00	$370.70
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	19	$1652.00	$208.80
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$240.00	$68.01
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	16	$3667.00	$88.82
51702 Simple insertion of temporary bladder tube	15	11	$734.00	$54.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$457.00	$131.01
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$27076.00	$667.78

Medical Specialties & State Licenses

CMS Verified: 2023-02-23

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WI 43406-020

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

34120500 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

10400 75th St, Kenosha, WI 531427884

Phone: 2629487000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Indur Wadhwani , MD

Urology

NPI 1275543811

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3811 SPRING ST, STE 202, RACINE, WI 534051667 (Tel: 2626878202)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3811 SPRING ST, STE 202, RACINE, WI 534051667 (Tel: 2626878202)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS MATKOV, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #43406-020 in WI)

🟢

Initial NPI Registration & Enumeration July 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Thomas Matkov. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972524825

Entity Type:

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

Enumeration Date: July 23, 2006

Last Update: February 23, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3811 Spring St, Ste 202

Racine, WI 534051667

Phone: 2626878202

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.