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 Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

The Urology Institute Ambulatory Surgery Center (NPI 1881704773)

Field	Value
Entity Type	Organization
Organization	The Urology Institute Ambulatory Surgery Center
Address	817 Smith Avenue
City	Thomasville
State	GA
ZIP	31792
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$36.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
52281	The 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…	40	$570	$20.6K
55700	Code deleted December 31, 2025.	10	$580	$6.3K
52000	In 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…	30	$190	$4.7K
51728	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…	30	$100	$3K
51784	This test measures the electrical activity in the anal or urethral sphincter muscles.	50	$20	$860
51726	A cystometer measures the bladder's capacity, or bladder pressure. It evaluates the contraction and expulsion activities of the bladder, and is used to diagnose certain urinary disorders.	20	$40	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

The Urology Institute Ambulatory Surgery Center — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52000	236	270	70	$140	$13.8K
52281	6	20	30	$320	$13.6K
55700	158	170	20	$280	$9.1K
51728	44	90	30	$200	$7.6K
51726	2	10	20	$140	$3.3K
51784	25	130	30	$20	$720

Nearby Providers

Other providers in the same ZIP code as The Urology Institute Ambulatory Surgery Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgia Pines Community Service Board	GA	Community/Behavioral Health Agency	$0	$45.3M
Shannon Mullen-magbalon	GA	Counseling Psychologist	$0	$1.7M
Thomasville Surgery Center, Inc.	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Brian Szwarc	GA	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$126.6K	$540.7K
Thomas County Commissioners Of Roads & Revenues	GA	Land Ambulance	$606.5K	$0
Maximilian Shokat	GA	Interventional Pain Medicine Physician	$516.1K	$0
Maurice Bernaiche	GA	Interventional Pain Medicine Physician	$358.6K	$6.7K
Michael Magbalon	GA	Ophthalmology Physician	$359K	$0
Michael Gee	GA	Internal Medicine Physician	$331.6K	$0
Albert Richardson	GA	Vascular Surgery Physician	$325.9K	$0

The Urology Institute Ambulatory Surgery Center — Billing Profile & Reimbursement Data

Sign up for The Urology Institute Ambulatory Surgery Center — Billing Profile & Reimbursement Data policy alerts

The Urology Institute Ambulatory Surgery Center — Billing Profile & Reimbursement Data

Sign up for The Urology Institute Ambulatory Surgery Center — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References