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    OpenPayerNPI Medicare & MedicaidAcademic Urology Of PA, LLC
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    Academic Urology Of PA, LLC — Billing Profile & Reimbursement Data

    NPI 1336439645 · Bryn Mawr, PA · Ambulatory Surgical Clinic/Center

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    Academic Urology Of PA, LLC is a ambulatory surgical clinic/center provider located in Bryn Mawr, Pennsylvania. This profile covers 14 Medicare and 2 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
    OrganizationAcademic Urology Of PA, LLC
    Address919 Conestoga Rd
    CityBryn Mawr
    StatePA
    ZIP19010
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 8, 2011

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

    Payer SourceTotal Paid
    Medicare$1.5M
    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.

    14 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…2,420$220$524.5K
    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…330$680$225.8K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.50$3,970$198.3K
    55700Code deleted December 31, 2025.240$670$160.4K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants20$5,640$118.4K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…30$2,880$80.5K
    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…110$680$76.7K
    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…40$1,200$45.5K
    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…50$670$35.4K
    55876In this procedure, the provider places one or more location markers or a device that measures radiation dosage within tissue gaps in the prostate prior to the administration of radiation treatment,…40$730$25.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974051020$5,610$202.1K
    6456132030$2,350$75.1K
    J05851041407,600$1$47.7K
    5587493020$1,070$29.9K
    52000140070$140$13.9K
    5222422020$610$13.4K
    5228142020$400$13.3K
    5228726020$330$11.1K
    5221411010$660$8.5K
    55700221020$260$8.4K

    Showing 1–10 of 14

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…40$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis40$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…3140100$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis2030100$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    George DakwarPAUrology Physician$411.9K$0
    Mehrdad SoroushPAUrology Physician$351.2K$0
    Donald AndersenPAUrology Physician$342.9K$0
    David McginnisPAUrology Physician$317.1K$0
    Leigh BergmannPAUrology Physician$291.9K$0
    Jeffrey GordonPAUrology Physician$263.2K$0
    Ilia ZeltserPAUrology Physician$261.8K$0
    David CahnPAUrology Physician$222.3K$0
    Ilene WongPAUrology Physician$219.5K$0
    William MerriamPAUrology Physician$199.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Academic Urology Of PA, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kaleidoscope Family Solutions, Inc.PACommunity/Behavioral Health Agency$0$78.3M
    Resources For Human Development, Inc.PACommunity/Behavioral Health Agency$0$30.7M
    Kaleidoscope Family Solutions Aba Inc.PABehavior Analyst$0$9.8M
    Sameer GuptaPAHematology & Oncology Physician$2.9M$0
    Donald MillerPARheumatology Physician$2.2M$0
    John DevlinPAHematology & Oncology Physician$2M$0
    Bmmsa Heart & Vascular Center Of The Main LinePAAmbulatory Surgical Clinic/Center$1.9M$0
    Stephanie FlaggPARheumatology Physician$1.6M$0
    Sean CurranPACardiovascular Disease Physician$1.4M$0
    Bryn Mawr Surgery Center LLCPAAmbulatory Surgical Clinic/Center$1.3M$0

    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. Pennsylvania Distribution
    Academic Urology Of PA, LLC — 5 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Academic Urology Of PA, LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania