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    OpenPayerNPI Medicare & MedicaidUrology Asc- Phoenix, LLC
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    Urology Asc- Phoenix, LLC — Billing Profile & Reimbursement Data

    NPI 1275198673 · Phoenix, AZ · Ambulatory Surgical Clinic/Center

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    Urology Asc- Phoenix, LLC is a ambulatory surgical clinic/center provider located in Phoenix, Arizona. This profile covers 15 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationUrology Asc- Phoenix, LLC
    Address1313 E Osborn Rd Ste 170b
    CityPhoenix
    StateAZ
    ZIP85014
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 1, 2019

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

    Payer SourceTotal Paid
    Medicare$890.7K
    Medicaid$71.5K

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.50$3,860$204.8K
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…10$14,970$194.6K
    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…510$210$105.9K
    J0585Injection, onabotulinumtoxina, 1 unit17,100$10$85.5K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants10$5,350$69.5K
    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…80$640$50.8K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$1,750$31.6K
    55700Code deleted December 31, 2025.50$650$31.2K
    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$1,600$28.9K
    52240The 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$1,640$27.9K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974051030$5,340$192.3K
    64590163020$7,000$189K
    6456183030$2,530$167.1K
    J0585231109,070$1$62.1K
    520005200110$160$22.7K
    52601155020$770$15.5K
    5224091020$560$12.8K
    5228733030$330$11.7K
    52356307020$460$10.7K
    5228192020$320$10.6K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…600$120$71.8K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…830160$130$78.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Urology Asc- Phoenix, LLCAZAmbulatory Surgical Clinic/Center$883.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abrio Family Services & SupportsAZIn Home Supportive Care Agency$0$82.5M
    Castle Biosciences, IncAZClinical Medical Laboratory$70.9M$1.3M
    Homeassist Health, IncAZIn Home Supportive Care Agency$0$66.1M
    Andventure, LLCAZHome Health Agency$0$45.8M
    Rehema Behavioral Health Clinic LLCAZCommunity/Behavioral Health Agency$0$35.6M
    Valle Del Sol, Inc.AZCommunity/Behavioral Health Agency$0$20.9M
    Arizona Youth & Family Services, Inc.AZCommunity/Behavioral Health Agency$0$17.1M
    Fsl ProgramsAZCase Management Agency$0$16.9M
    Netcor Transports LLCAZNon-emergency Medical Transport (VAN)$0$14.9M
    Valle Del Sol, Inc.AZFederally Qualified Health Center (FQHC)$0$13.4M

    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. Arizona Distribution
    Urology Asc- Phoenix, LLC — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Urology Asc- Phoenix, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona