Upper Cumberland Urology Associates PC

Upper Cumberland Urology Associates PC was paid $60K by Medicaid between Jan 2018 and Apr 2020, across 11 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 39% of everything it billed.

33Billing provider infoUPPER CUMBERLAND UROLOGY ASSOCIATES PC
COOKEVILLE, TN 38501

33aNPI1023078649assigned 03/27/2006

33bProvider typeUrology Physician

28Total paid$60K

24GClaims4,195

24DCodes billed11

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Urology Physician providers in Tennessee

Rank by total paid#20 of 53

Median peer was paid$12K

This provider vs. median5.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,363	$20K
2019	1,876	$27K
2020	956	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	39%	575	508	$24K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	691	551	$14K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	24%	519	429	$14K
81001		3.2%	1,788	1,418	$2K
74018		3.0%	159	127	$2K
51798		1.7%	181	142	$1K
52000		1.7%	17	13	$1K
51701		1.4%	31	25	$861.87
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.1%	77	45	$658.65
J1071	Injection, testosterone cypionate, 1 mg	<1%	69	39	$233.04
36415	Collection of venous blood by venipuncture	<1%	88	72	$68.81

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGORYL, STEPHEN (PRESIDENT/PHYSICIAN OWNER)