Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arkansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arkansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arkansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Urology Group, PC (NPI 1184322067)

Field	Value
Entity Type	Organization
Organization	Urology Group, PC
Address	944 State Highway 77
City	Marion
State	AR
ZIP	72364
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	February 20, 2023

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

UROLOGY GROUP, PC is operating as a clinical medical laboratory with a molecular infectious-disease testing profile: its top Medicare-revenue codes are concentrated in amplified nucleic acid probe/NAAT testing — 87798 (generic amplified probe test for infectious agents), 87640 (Staphylococcus aureus), 87653 (Streptococcus, group B), and 87481 (Candida species). The code mix and the Clinical Medical Laboratory taxonomy indicate the practice’s core service line is high-volume molecular microbiology rather than hands-on urology procedures.

Revenue is highly concentrated in a very small set of molecular testing codes: the top 3 Medicare codes account for 93.7% of this provider’s total Medicare revenue, led by 87798 which alone represents $1.3M (81.2% of Medicare revenue). That concentration implies the provider’s financial performance is closely tied to demand and reimbursement for a few NAAT diagnostic services.

The provider’s Medicare scale is $1.7M in lifetime Medicare revenue while Medicaid billing is absent: Total Medicare revenue: $1.7M and Total Medicaid revenue: none (no Medicaid billing on file). In practical terms this is an effectively single-payer (Medicare-focused) billing footprint with no recorded Medicaid activity to diversify payer risk.

Competitive standing on key NAAT codes is high in percentile but characterized in the source data as typical volumes: 87798 registers 39.6K claims, $34 avg paid/claim, $1.3M revenue and ranks #51 of 1319 nationally (96th percentile; typical, unremarkable volume for this code). Similarly, 87640 (3K claims, $34 avg, $103.7K; ranks #46 of 1017, 96th percentile) and 87653 (3K claims, $34 avg, $103.6K; ranks #40 of 894, 96th percentile) show above-average national rank yet are labeled as typical volumes, indicating the provider is a high-volume participant but not an extreme outlier among national peers.

An additional NAAT code, 87481 (3K claims, $34 avg paid/claim, $103.6K revenue, 6.3% of Medicare revenue), ranks #109 of 1117 (90th percentile; typical, unremarkable volume for this code). The presence of multiple 3K-claim codes at similar reimbursement levels suggests a diversified set of screening assays around the same per-test payment tier, reinforcing a laboratory business model built on throughput at modest per-claim reimbursement.

The provider’s NPI was enumerated on 2023-02-20 (~3 years ago), making it relatively recent on Medicare files; achieving $1.7M in lifetime Medicare revenue in that interval suggests rapid scale-up of molecular testing services since enumeration. Analysts should consider the short tenure when evaluating growth trajectory and sustainability.

Operationally, the claims and payment pattern shows very high claim volume for 87798 (39.6K claims) versus 3K claims for each of the other leading codes, with an identical $34 avg paid/claim reported across these NAAT services. This pattern is consistent with a high-throughput lab processing many small-reimbursement molecular tests, so margins and capacity utilization will be sensitive to per-claim reimbursement and testing volumes.

Because revenue is concentrated in a few NAAT codes and there is no Medicaid billing on file, the provider’s revenue profile is sensitive to changes in Medicare coverage, coding guidance, or reimbursement policy for those specific amplified probe tests. The lack of Medicaid exposure reduces complexity on that payer side but also removes a potential diversification of payer risk.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	39,570	$30	$1.3M
87640	The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.	3,050	$30	$103.7K
87653	The lab analyst performs a test for Streptococcus, group B, using amplified nucleic acid probe technique. The amplified probe provides a rapid means to assess colonization by Streptococcus, group B,…	3,050	$30	$103.6K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	3,050	$30	$103.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Urology Group, PC — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87798	1	30	120	$30	$131.4K
87481	4	30	40	$30	$39.2K
87653	2	30	60	$30	$22.9K
87640	2	30	60	$30	$21.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Urology Group, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Greenberger	TN	Urology Physician	$647.8K	$0
David Gubin	TN	Urology Physician	$613.8K	$0
Walter Rayford	TN	Urology Physician	$576.7K	$0
William Shappley	TN	Urology Physician	$567.6K	$210
Zachary Corr	TN	Urology Physician	$317.4K	$0
William Shappley	TN	Specialist	$301K	$0
Rowena Desouza	TN	Urology Physician	$268.5K	$0
Leslie Mcgowan	TN	Urology Physician	$208.5K	$0
William Bingham	TN	Urology Physician	$177.7K	$0
Zoe Varner	TN	Medical Physician Assistant	$124.4K	$7.1K

Nearby Providers

Other providers in the same ZIP code as Urology Group, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kids For The Future Of Marion	AR	Developmental Therapist	$0	$18.5M
Kidspot Marion, Inc.	AR	Speech-Language Pathologist	$0	$7.9M
Marion Pediatric Dentistry, PLLC	AR	Dental Clinic/Center	$0	$6.2M
Faithful Healthcare & Supplies,llc	AR	Home Health Agency	$0	$5M
Life Strategies Counseling, Inc.	AR	Adolescent and Children Mental Health Clinic/Center	$0	$2.5M
Little Voices, PLLC	AR	Speech-Language Pathologist	$0	$1.9M
Tlc Quality Home Care Services, LLC	AR	Home Health Agency	$0	$1.4M
Mitchell Family Medicine, LLC	AR	Family Medicine Physician	$0	$1.3M
Mid-south Personal Care Agency, LLC	AR	Attendant Care Provider	$0	$1.3M
Isd Renal Inc	AR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M

Urology Group, PC — Billing Profile & Reimbursement Data

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Urology Group, PC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References