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    OpenPayerNPI Medicare & MedicaidGainesville Urology Asc LLC
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    Gainesville Urology Asc LLC — Billing Profile & Reimbursement Data

    NPI 1245241694 · Gainesville, GA · Ambulatory Surgical Clinic/Center

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    Gainesville Urology Asc LLC is a ambulatory surgical clinic/center provider located in Gainesville, Georgia. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGainesville Urology Asc LLC
    Address1240 Jesse Jewell Pkwy Se
    CityGainesville
    StateGA
    ZIP30501
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 11, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$522.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…170$630$104.2K
    55700Code deleted December 31, 2025.110$610$65K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…320$200$62.6K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…40$920$35.8K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$1,660$34.9K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…50$620$29K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…40$620$21.7K
    51715In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a…10$1,520$21.2K
    52224The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…20$1,050$21.1K
    74420The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…130$140$19.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585751007,280$1$48.3K
    520001027070$140$13.8K
    5228122030$320$13.6K
    5222431020$610$13.4K
    5235151010$800$12.8K
    523562610020$500$10.1K
    5228784030$360$10K
    52005134030$300$9.1K
    55700717020$280$9.1K
    5231098020$320$9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David WooGAUrology Physician$185.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Gainesville Urology Asc LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Georgia Medical Center, Inc.GAGeneral Acute Care Hospital$0$112.9M
    Georgia Emergency Department Services, P.C.GAEmergency Medicine Physician$0$17.9M
    S.y.a.h.GAUrgent Care Clinic/Center$0$6.5M
    Pediatric Associates LLPGAPediatrics Physician$0$5M
    William ChafinGARheumatology Physician$3.3M$0
    Marta BognarGARheumatology Physician$2.3M$0
    Brent FlickingerGARheumatology Physician$2.3M$0
    Gainesville Radiology Group, PCGADiagnostic Radiology Physician$0$2M
    Hall County GeorgiaGALand Ambulance$1.6M$0
    Northeast Georgia Physicians Group Urgent Care LLCGAFamily Medicine Physician$0$1.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Gainesville Urology Asc LLC — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia