Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Premier Urology Associates, LLC

Premier Urology Associates, LLC was paid $918K by Medicaid between Jan 2018 and Nov 2019, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoPREMIER UROLOGY ASSOCIATES, LLC
LANGHORNE, PA 19047
33aNPI1053544528assigned 08/31/2009
33bProvider typeUrology Physician
28Total paid$918K
24GClaims19,722
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers

Next to other Urology Physician providers in Pennsylvania

Rank by total paid#5 of 134
Median peer was paid$3K
This provider vs. median292×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201810,641$516K
20199,081$403K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 6,278 5,998 $300K
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 20% 2,616 2,517 $184K
76857 15% 3,595 3,496 $133K
76775 7.7% 1,533 1,507 $71K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.1% 484 484 $65K
76872 5.0% 883 881 $46K
88120 3.3% 182 181 $30K
99244 Office or other outpatient consultation, moderate to high complexity 3.2% 164 164 $30K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.4% 136 136 $13K
51741 1.4% 1,363 1,344 $13K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.1% 302 181 $10K
51798 <1% 389 373 $6K
9 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 235 $5K
88108 <1% 219 $4K
52000 <1% 13 $2K
51736 <1% 120 $2K
99222 Initial hospital care, per day, moderate complexity <1% 18 $1K
99243 <1% 13 $1K
81002 <1% 846 $909.33
36415 Collection of venous blood by venipuncture <1% 200 $455.09
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 133 $194.14

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 officialPLOTKIN, ALAN (CEO)