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NPI 1912909144 · Omaha, NE · Ambulatory Surgical Clinic/Center
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The Urology Center, PC is a ambulatory surgical clinic/center provider located in Omaha, Nebraska. This profile covers 19 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | The Urology Center, PC |
| Address | 111 1/2 S 90th St |
| City | Omaha |
| State | NE |
| ZIP | 68114 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $909.9K |
| Medicaid | $2.8K |
THE UROLOGY CENTER, PC is operating as an ambulatory surgical clinic/center with a procedure mix dominated by endoscopic bladder and prostate work; Medicare billing is concentrated in cystourethroscopy and related interventions such as 52000, 52310, 52356, and prostate-targeted services like C9740 and 55874, which together point to a high-volume, procedure-driven urology practice rather than a primary care or inpatient surgical facility. The presence of stone management codes (52356, 52352, 50590) and transrectal ultrasound (76872) further indicates routine same-day interventional urology and imaging capability.
Medicare is the material payer for this entity: total Medicare revenue on file is $909.9K versus total Medicaid revenue of $2.8K, so the provider is effectively Medicare-dominant in scale and Medicaid represents a de minimis share of billed revenue. This split suggests strategic exposure and dependence on Medicare fee schedules and patient flows.
Revenue concentration is notable on Medicare: the precomputed top 3 Medicare codes account for 50.1% of this provider's total Medicare revenue. Those three codes are 52000 ($159.4K), C9740 ($150.4K), and 55700 ($146.7K), which together drive half of the $909.9K Medicare topline and indicate a tight service-line focus on cystoscopic evaluation, transprostatic implants, and the legacy 55700 series work.
On Medicaid the provider is effectively single-code: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and that Medicaid revenue is entirely from 52000 (16 claims, $2.8K revenue). This confirms Medicaid activity is very limited and concentrated in basic cystourethroscopy in-state.
Competitive standing versus national Medicare peers is mixed but includes several extreme national outliers: 52000 is listed at 797 claims with $159.4K revenue and ranks #34 of 8,548 providers nationally (100th percentile; extreme outlier), 52310 ranks #24 of 2,547 providers (99th percentile; extreme outlier), and 55700 ranks #32 of 4,425 providers (99th percentile; extreme outlier). Those rankings indicate this provider bills far above typical national volumes for multiple core cystoscopy/urology codes, establishing it as a high-volume national outlier for select procedures.
Other high-volume services show more typical standing: C9740 (27 claims, $150.4K) ranks #69 of 162 providers (56th percentile) and 55874 (33 claims, $88.9K) ranks #108 of 557 providers (80th percentile), both characterized as typical volumes in their peer sets. J0585 appears frequently (6.8K claims, $34K revenue) but sits at the 46th percentile nationally, so while claim count is large its revenue impact is modest and its ranking is unremarkable relative to peers. 76872 (231 claims, $9.2K) is notably above typical (98th percentile), reinforcing the practice’s emphasis on prostate imaging.
The provider’s NPI has been enumerated since 2005-06-01 (~21 years ago), indicating long-standing presence in the market; that tenure, combined with concentrated Medicare-driven procedure volumes, suggests an established ambulatory urology surgery operation with steady referral flows for cystoscopy, prostate implants, and related interventions.
Operationally, the code mix (prominent 52000 and 52310 cystoscopies, prostate implant code C9740, prostate-space procedure 55874, and therapeutic endoscopic stone codes such as 52356) implies workflows and facility resources aligned to outpatient endoscopic procedures, device insertion/implantation, and same-day imaging/interventional care. Payers and network managers should therefore view this entity as a specialized ambulatory surgical center focused on urologic procedural throughput when assessing contracting, utilization management, and network composition.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 800 | $200 | $159.4K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 30 | $5,570 | $150.4K |
| 55700 | Code deleted December 31, 2025. | 230 | $640 | $146.7K |
| 55874 | Under 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 | $2,690 | $88.9K |
| 52310 | The 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… | 120 | $650 | $75.7K |
| 52356 | The 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… | 40 | $1,710 | $71.9K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 6,800 | $10 | $34K |
| 52287 | The 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… | 50 | $640 | $30.9K |
| 52332 | The 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 | $800 | $28.1K |
| 52352 | The 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 | $980 | $17.6K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 3 | 10 | 30 | $5,440 | $157.7K |
| J0585 | 19 | 30 | 8,400 | $1 | $69.1K |
| 55874 | 1 | 10 | 30 | $2,200 | $59.5K |
| 52000 | 2 | 50 | 120 | $120 | $20.7K |
| 52287 | 8 | 20 | 30 | $340 | $20.2K |
| 55700 | 2 | 50 | 30 | $310 | $13.4K |
| 50590 | 12 | 10 | 20 | $540 | $12.4K |
| 52315 | 1 | 10 | 20 | $610 | $10.4K |
| 52310 | 2 | 40 | 20 | $320 | $10.3K |
| 52005 | 2 | 10 | 30 | $370 | $9.9K |
Showing 1–10 of 19
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 20 | $170 | $2.8K |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2 | 10 | 20 | $240 | $50.6K |
Other providers in the same ZIP code as The Urology Center, PC, ranked by combined Medicare and Medicaid revenue.
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